MEDICARE: GREAT GLASSES

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	332H00000X	Eyewear Supplier		TX

General Provider Information

NPI Number	:	1437352473
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREAT GLASSES

Provider Business Mailing Address
First Line	:	4042 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3304
Country	:	US
Telephone Number	:	713-667-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	4042 S BRAESWOOD BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77025-3304
Country	:	US
Telephone Number	:	713-667-2787
Fax Number	:

Authorized Official
Title or Position	:	OWNER-MANAGER
Name	:	A.J. SAPER
Credential	:
Telephone Number	:	713-667-2787

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	08/22/2020

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Directions to “GREAT GLASSES ” Practice Location

Language	Start Address	Practice Location

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