MEDICARE: ONEOPTO TX 1 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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1447123872
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONEOPTO TX 1 PLLC

Provider Business Mailing Address
First Line	:	2323 CLEAR LAKE CITY BLVD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8040
Country	:	US
Telephone Number	:	281-480-1002
Fax Number	:	281-480-1048

Provider Business Practice Location Address
First Line	:	2323 CLEAR LAKE CITY BLVD STE 150
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77062-8040
Country	:	US
Telephone Number	:	281-480-1002
Fax Number	:	281-480-1048

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	GINGER BROWN
Credential	:
Telephone Number	:	281-367-2020

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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