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NPI Code Detail

MEDICARE: EYECARE SOLUTION SPECIALISTS, LLC

MEDICARE: EYECARE SOLUTION SPECIALISTS, 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
1152W00000XOptometrist4648TTX

General Provider Information

NPI Number : 1851538292
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYECARE SOLUTION SPECIALISTS, LLC
Provider Business Mailing Address
First Line : 8618 FONTAINBLEU
Second Line :
City : HOUSTON
State : TX
Zip : 77024-4602
Country : US
Telephone Number : 713-907-2631
Fax Number :
Provider Business Practice Location Address
First Line : 3836 RICHMOND AVE
Second Line :
City : HOUSTON
State : TX
Zip : 77027-5802
Country : US
Telephone Number : 713-355-1400
Fax Number :
Authorized Official
Title or Position : GENERAL PARTNER
Name : DR. CHARLENE ANN FRANKLIN
Credential : O.D.
Telephone Number : 713-907-2631
Provider Enumeration Date : 01/07/2009
Last Update Date : 01/07/2009

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Directions to “EYECARE SOLUTION SPECIALISTS, LLC ” Practice Location

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