MEDICARE: HTN EYE CARE, LLC

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	:	1750162764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HTN EYE CARE, LLC

Provider Business Mailing Address
First Line	:	9595 SIX PINES DR STE 1350
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1596
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9595 SIX PINES DR STE 1350
Second Line	:
City	:	THE WOODLANDS
State	:	TX
Zip	:	77380-1596
Country	:	US
Telephone Number	:	281-298-3755
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	HONG NGUYEN
Credential	:	OD
Telephone Number	:	832-275-9676

Provider Enumeration Date	:	10/06/2023
Last Update Date	:	10/06/2023

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