MEDICARE: SANA H SOMJI O.D.

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	7720TG	TX
2	152WC0802X	Corneal and Contact Management Optometrist	7720TG	TX

General Provider Information

NPI Number	:	1174810261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANA H SOMJI O.D.

Provider Business Mailing Address
First Line	:	9041 CREEKSTONE LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1030
Country	:	US
Telephone Number	:	832-377-6654
Fax Number	:

Provider Business Practice Location Address
First Line	:	9041 CREEKSTONE LAKE DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-1030
Country	:	US
Telephone Number	:	832-377-6654
Fax Number	:

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

Provider Enumeration Date	:	07/09/2011
Last Update Date	:	10/06/2012

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Directions to “ SANA H SOMJI O.D.” Practice Location

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