MEDICARE: LIMCER, INC.

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	:	1508048851
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMCER, INC.

Provider Business Mailing Address
First Line	:	6737 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6737 STELLA LINK RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77005-4342
Country	:	US
Telephone Number	:	713-660-9914
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BARRY SPENCER
Credential	:
Telephone Number	:	713-660-9914

Provider Enumeration Date	:	11/28/2007
Last Update Date	:	11/28/2007

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