MEDICARE: N.W.EYECARE LLC

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

General Provider Information

NPI Number	:	1265538698
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	N.W.EYECARE LLC

Provider Business Mailing Address
First Line	:	2718 MILROY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-4606
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 MILROY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77066-4606
Country	:	US
Telephone Number	:	281-821-1410
Fax Number	:	281-821-2150

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HOI NGUYEN LUONG
Credential	:	O.D.
Telephone Number	:	281-821-1410

Provider Enumeration Date	:	09/15/2006
Last Update Date	:	05/11/2009

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