MEDICARE: LIFETIME EYECARE ASSOCIATES

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	6168T	TX

General Provider Information

NPI Number	:	1649261900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIFETIME EYECARE ASSOCIATES

Provider Business Mailing Address
First Line	:	27214 KUYKENDAHL RD STE 100
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77375-3529
Country	:	US
Telephone Number	:	281-465-8300
Fax Number	:	281-465-8303

Provider Business Practice Location Address
First Line	:	27214 KUYKENDAHL RD
Second Line	:	SUITE 100
City	:	THE WOODLANDS
State	:	TX
Zip	:	77375
Country	:	US
Telephone Number	:	281-465-8300
Fax Number	:	281-465-8303

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GRISEL LAGUNAS
Credential	:	OD
Telephone Number	:	281-465-8300

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	10/31/2025

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