MEDICARE: DR. INNA GASTON OD

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	10116TG	TX

General Provider Information

NPI Number	:	1841545605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. INNA GASTON OD

Provider Business Mailing Address
First Line	:	2431 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1451
Country	:	US
Telephone Number	:	713-522-2007
Fax Number	:	281-410-2010

Provider Business Practice Location Address
First Line	:	2431 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-1451
Country	:	US
Telephone Number	:	713-522-2007
Fax Number	:	281-410-2010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2012
Last Update Date	:	04/29/2026

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