MEDICARE: LOOK 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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1861955593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOOK EYE CARE, PLLC

Provider Business Mailing Address
First Line	:	1717 W 34TH ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6256
Country	:	US
Telephone Number	:	281-616-5959
Fax Number	:	281-238-5089

Provider Business Practice Location Address
First Line	:	1717 W 34TH ST STE 300
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-6256
Country	:	US
Telephone Number	:	832-293-7666
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	NATALIE VU
Credential	:	OD
Telephone Number	:	832-293-7666

Provider Enumeration Date	:	04/10/2019
Last Update Date	:	08/13/2020

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