MEDICARE: EYEGLASSES OF TEXAS

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	156FX1800X	Optician

General Provider Information

NPI Number	:	1740822501
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYEGLASSES OF TEXAS

Provider Business Mailing Address
First Line	:	6200 BELLAIRE BLVD STE J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4902
Country	:	US
Telephone Number	:	346-324-5723
Fax Number	:	346-701-8798

Provider Business Practice Location Address
First Line	:	6200 BELLAIRE BLVD STE J
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77081-4902
Country	:	US
Telephone Number	:	346-324-5723
Fax Number	:	346-701-8798

Authorized Official
Title or Position	:	MANAGER
Name	:	EUDELIA HERNANDEZ
Credential	:
Telephone Number	:	346-324-5723

Provider Enumeration Date	:	10/14/2019
Last Update Date	:	10/14/2019

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Directions to “EYEGLASSES OF TEXAS ” Practice Location

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