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NPI Code Detail

MEDICARE: DR. DOUGLAS MICHAEL INNS OD

MEDICARE: DR. DOUGLAS MICHAEL INNS OD
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
1152W00000XOptometrist3051TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1235101668
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS MICHAEL INNS OD
Provider Business Mailing Address
First Line : 402 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number : 281-367-2769
Provider Business Practice Location Address
First Line : 402 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number : 281-367-2769
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2006
Last Update Date : 01/18/2022

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