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NPI Code Detail

MEDICARE: HOUSTON OPTIC, PLLC

MEDICARE: HOUSTON OPTIC, 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
1152W00000XOptometrist

General Provider Information

NPI Number : 1558476788
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON OPTIC, PLLC
Provider Business Mailing Address
First Line : 2855 GRAMERCY ST STE 400
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1756
Country : US
Telephone Number : 713-668-6828
Fax Number :
Provider Business Practice Location Address
First Line : 2855 GRAMERCY ST
Second Line :
City : HOUSTON
State : TX
Zip : 77025-1756
Country : US
Telephone Number : 713-668-6828
Fax Number :
Authorized Official
Title or Position : CHIEF INFORMATION OFFICER
Name : THOMAS MERKLE
Credential :
Telephone Number : 713-668-6828
Provider Enumeration Date : 08/20/2006
Last Update Date : 09/19/2023

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Directions to “HOUSTON OPTIC, PLLC ” Practice Location

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