MEDICARE: FLASH EYEWEAR AND REPAIR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	156FC0800X	Contact Lens Technician/Technologist
2	156FX1800X	Optician
3	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1871185926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLASH EYEWEAR AND REPAIR LLC

Provider Business Mailing Address
First Line	:	13709 STATE HIGHWAY 249
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086-2705
Country	:	US
Telephone Number	:	832-288-2661
Fax Number	:	800-261-5036

Provider Business Practice Location Address
First Line	:	13709 STATE HIGHWAY 249
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77086-2705
Country	:	US
Telephone Number	:	832-288-2661
Fax Number	:	800-261-5036

Authorized Official
Title or Position	:	OWNER/MEMBER
Name	:	MARIO SANTILLAN
Credential	:
Telephone Number	:	832-288-2661

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	08/07/2025

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Directions to “FLASH EYEWEAR AND REPAIR LLC ” Practice Location

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