MEDICARE: DR. GRISEL LAGUNAS 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	6168TG	TX

General Provider Information

NPI Number	:	1306937727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRISEL LAGUNAS O.D.

Provider Business Mailing Address
First Line	:	10227 BIRCHLINE DR
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7428
Country	:	US
Telephone Number	:	281-430-4283
Fax Number	:	281-465-8303

Provider Business Practice Location Address
First Line	:	27214 KUYKENDAHL RD
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77375
Country	:	US
Telephone Number	:	281-465-8300
Fax Number	:	281-465-8303

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	06/05/2024

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