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NPI Code Detail

MEDICARE: HOUSTON HEIGHTS EYE CARE PLLC

MEDICARE: HOUSTON HEIGHTS EYE CARE 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 : 1700306800
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON HEIGHTS EYE CARE PLLC
Provider Business Mailing Address
First Line : 532 W 17TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3632
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 432 W 19TH ST
Second Line :
City : HOUSTON
State : TX
Zip : 77008-3914
Country : US
Telephone Number : 713-864-8822
Fax Number : 713-864-8829
Authorized Official
Title or Position : OWNER
Name : MICHELLE HUNG
Credential :
Telephone Number : 713-864-8822
Provider Enumeration Date : 06/21/2017
Last Update Date : 06/21/2017

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Directions to “HOUSTON HEIGHTS EYE CARE PLLC ” Practice Location

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