Healthcare Provider Details

I. General information

NPI: 1710217054
Provider Name (Legal Business Name): APEX EYE CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2010
Last Update Date: 03/24/2021
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 N 16TH ST
ORANGE TX
77630-2331
US

IV. Provider business mailing address

2211 VILLAGE DALE AVE
HOUSTON TX
77059-3591
US

V. Phone/Fax

Practice location:
  • Phone: 409-385-5262
  • Fax: 409-385-6497
Mailing address:
  • Phone: 832-605-7103
  • Fax: 832-224-4766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number7406TG
License Number StateTX

VIII. Authorized Official

Name: VINCENT WING-WAH LAM
Title or Position: MANAGING MEMBER
Credential:
Phone: 832-605-7103