MEDICARE: AAMENA SUMMER KAZMI O.D.

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	8645T	TX

General Provider Information

NPI Number	:	1669853685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AAMENA SUMMER KAZMI O.D.

Provider Business Mailing Address
First Line	:	13307 RYAN LANDING DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77065-3160
Country	:	US
Telephone Number	:	281-685-6342
Fax Number	:

Provider Business Practice Location Address
First Line	:	5001 BISSONNET ST STE 107
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-4015
Country	:	US
Telephone Number	:	713-664-8087
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2015
Last Update Date	:	03/28/2018

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