MEDICARE: ACCLARO OPTICAL INC.

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	5361TG	TX

General Provider Information

NPI Number	:	1063648558
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCLARO OPTICAL INC.

Provider Business Mailing Address
First Line	:	5015 WESTHEIMER RD
Second Line	:	SUITE 2304
City	:	HOUSTON
State	:	TX
Zip	:	77056-5621
Country	:	US
Telephone Number	:	713-623-4181
Fax Number	:	713-623-8429

Provider Business Practice Location Address
First Line	:	9738 KATY FWY
Second Line	:	SUITE 500
City	:	HOUSTON
State	:	TX
Zip	:	77055-6209
Country	:	US
Telephone Number	:	713-468-2424
Fax Number	:	713-468-3246

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. NADIA SLEDGE
Credential	:	OD
Telephone Number	:	713-623-4181

Provider Enumeration Date	:	06/10/2009
Last Update Date	:	06/10/2009

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Directions to “ACCLARO OPTICAL INC. ” Practice Location

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