MEDICARE: PASADENA EYE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1033671409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASADENA EYE ASSOCIATES

Provider Business Mailing Address
First Line	:	10555 PEARLAND PKWY STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2676
Country	:	US
Telephone Number	:	713-991-5522
Fax Number	:	713-991-5566

Provider Business Practice Location Address
First Line	:	10555 PEARLAND PKWY STE D
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77089-2676
Country	:	US
Telephone Number	:	713-991-5522
Fax Number	:	713-991-5566

Authorized Official
Title or Position	:	OWNER
Name	:	SCOTT ERIC SEGAL
Credential	:	MD
Telephone Number	:	713-473-5715

Provider Enumeration Date	:	04/03/2019
Last Update Date	:	04/03/2019

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