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NPI Code Detail

MEDICARE: PREMIER OPTOMETRY PLLC

MEDICARE: PREMIER OPTOMETRY PLLC
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
1152W00000XOptometrist

General Provider Information

NPI Number : 1295169779
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER OPTOMETRY PLLC
Provider Business Mailing Address
First Line : 11159 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3218
Country : US
Telephone Number : 713-978-7504
Fax Number : 713-266-5828
Provider Business Practice Location Address
First Line : 11159 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77042-3218
Country : US
Telephone Number : 713-978-7504
Fax Number : 713-266-5828
Authorized Official
Title or Position : OWNER/OD
Name : ANJANA I BHAKTA
Credential : OD
Telephone Number : 281-920-3115
Provider Enumeration Date : 09/03/2013
Last Update Date : 07/21/2022

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Directions to “PREMIER OPTOMETRY PLLC ” Practice Location

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