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NPI Code Detail

MEDICARE: SECOND TEXAS OPTOMETRIC PC

MEDICARE: SECOND TEXAS OPTOMETRIC PC
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 : 1487378162
Entity Type Code : Organization
Provider Name (Legal Business Name) : SECOND TEXAS OPTOMETRIC PC
Provider Business Mailing Address
First Line : 3333 QUALITY DR
Second Line :
City : RANCHO CORDOVA
State : CA
Zip : 95670-7985
Country : US
Telephone Number : 704-712-0564
Fax Number :
Provider Business Practice Location Address
First Line : 402 SAWDUST RD
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77380-2243
Country : US
Telephone Number : 281-363-2020
Fax Number :
Authorized Official
Title or Position : OWNER
Name : TAMMI ALLSEP
Credential : OD
Telephone Number : 281-363-2020
Provider Enumeration Date : 09/27/2022
Last Update Date : 02/12/2026

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Directions to “SECOND TEXAS OPTOMETRIC PC ” Practice Location

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