1467467043 NPI number — URBAN EYE CARE PA

Table of content: (NPI 1467467043)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467467043 NPI number — URBAN EYE CARE PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
URBAN EYE CARE PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467467043
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3137 W HOLCOMBE BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77025-1505
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-349-9292
Provider Business Mailing Address Fax Number:
713-349-8989

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3137 W HOLCOMBE BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77025-1505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-349-9292
Provider Business Practice Location Address Fax Number:
713-349-8989
Provider Enumeration Date:
07/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
NGUYEN
Authorized Official First Name:
GIAO
Authorized Official Middle Name:
QUYNH
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
713-349-9292

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0023FC . This is a "BCBS ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 2290 . This is a "SUPERIOR VISION TRADER ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: EE23600 . This is a "SPECTERA ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 52818 . This is a "DAVIS VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: TX6236 . This is a "EYEMED ID" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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