MEDICARE: DAVID OLIVER SIMS 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	7013T	TX

General Provider Information

NPI Number	:	1306929138
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID OLIVER SIMS O.D

Provider Business Mailing Address
First Line	:	2366 RICE BLVD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77005-2666
Country	:	US
Telephone Number	:	713-521-2020
Fax Number	:	713-521-3727

Provider Business Practice Location Address
First Line	:	2366 RICE BLVD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77005-2666
Country	:	US
Telephone Number	:	713-521-2020
Fax Number	:	713-521-3727

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

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/17/2009

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Directions to “ DAVID OLIVER SIMS O.D” Practice Location

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