Organization Name: | PAMELA EVONNE WILHITE |
NPI Number: | 1093093676 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMELA EVONNE WILHITE (OWNER) |
Mailing Address: | 1919 North Loop W Suite 170a Houston |
State: | TX US |
Postal Code: | 770081374 |
Phone Number: | 7138022020 |
Fax Number: | 7138022022 |
NPI Enumeration Date: | 07/29/2011 |
NPI Last Update Date: | 06/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 136705 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |