MEDICARE: EYE NEEDS, 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	332H00000X	Eyewear Supplier	7490T	TX
2	152W00000X	Optometrist	7490T	TX

General Provider Information

NPI Number	:	1831412220
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE NEEDS, LLC

Provider Business Mailing Address
First Line	:	8019 W GRAND PKWY S
Second Line	:	1065
City	:	RICHMOND
State	:	TX
Zip	:	77407-1601
Country	:	US
Telephone Number	:	281-232-9161
Fax Number	:	281-232-9165

Provider Business Practice Location Address
First Line	:	8019 W GRAND PKWY S
Second Line	:	1065
City	:	RICHMOND
State	:	TX
Zip	:	77407-1601
Country	:	US
Telephone Number	:	281-232-9161
Fax Number	:	281-232-9165

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	NANCY NGUYEN
Credential	:	O.D.
Telephone Number	:	281-232-9161

Provider Enumeration Date	:	03/12/2010
Last Update Date	:	03/12/2010

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Directions to “EYE NEEDS, LLC ” Practice Location

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