MEDICARE: TEXAS EYECARE & OPTICAL LLC

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1346711132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEXAS EYECARE & OPTICAL LLC

Provider Business Mailing Address
First Line	:	8710 GRAND MISSION BLVD STE D
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-640-5666
Fax Number	:

Provider Business Practice Location Address
First Line	:	8710 GRAND MISSION BLVD STE D
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-5413
Country	:	US
Telephone Number	:	832-640-5666
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. TALHA ALTAF-UR RAHMAN
Credential	:	OD
Telephone Number	:	832-640-5666

Provider Enumeration Date	:	12/06/2018
Last Update Date	:	01/25/2024

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Directions to “TEXAS EYECARE & OPTICAL LLC ” Practice Location

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