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NPI Code Detail

MEDICARE: BELLAIRE EYE CARE INC.

MEDICARE: BELLAIRE EYE CARE 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
1152W00000XOptometrist7128TGTX
2152WC0802XCorneal and Contact Management Optometrist7522TTX
3207W00000XOphthalmology PhysicianE4710TX

General Provider Information

NPI Number : 1639369010
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLAIRE EYE CARE INC.
Provider Business Mailing Address
First Line : 2726 BISSONNET ST
Second Line : 240-228
City : HOUSTON
State : TX
Zip : 77005-1319
Country : US
Telephone Number : 832-934-1166
Fax Number : 832-934-1161
Provider Business Practice Location Address
First Line : 2726 BISSONNET ST
Second Line : 240-228
City : HOUSTON
State : TX
Zip : 77005-1319
Country : US
Telephone Number : 832-934-1166
Fax Number : 832-934-1161
Authorized Official
Title or Position : PRESIDENT
Name : ROSA A TANG
Credential : M.D.
Telephone Number : 832-934-1166
Provider Enumeration Date : 07/31/2007
Last Update Date : 06/21/2018

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Directions to “BELLAIRE EYE CARE INC. ” Practice Location

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