=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871814723
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EYEWORKS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/15/2010
-----------------------------------------------------
Last Update Date | 06/15/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 316 GRAY ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77002-8526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-942-9080
-----------------------------------------------------
Fax | 713-942-9082
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 316 GRAY ST
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77002-8526
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 713-942-9080
-----------------------------------------------------
Fax | 713-942-9082
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DOCTOR
-----------------------------------------------------
Name | DR. HIEN C TRAN
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 713-942-9080
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number | 6021T
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------