MEDICARE: BARCACEL EYE & VISION 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	:	1609297944
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARCACEL EYE & VISION PLLC

Provider Business Mailing Address
First Line	:	PO BOX 230208
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77223-0208
Country	:	US
Telephone Number	:	713-923-2890
Fax Number	:	713-923-2075

Provider Business Practice Location Address
First Line	:	7103 LAWNDALE
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77023
Country	:	US
Telephone Number	:	713-923-2890
Fax Number	:	713-923-2075

Authorized Official
Title or Position	:	OWNER/OD
Name	:	DR. LEANDRO A BARCACEL
Credential	:	OD
Telephone Number	:	713-923-2890

Provider Enumeration Date	:	01/03/2014
Last Update Date	:	04/05/2015

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