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Organization
BROOKWOOD EYECARE, INC.
Active
Organization
BROOKWOOD EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MORALES OD (OWNER/PRESIDENT)
(281) 338-1230
Entity
Organization
Contact information
Practice address
610 E MAIN ST, LEAGUE CITY, TX 77573-2458
(281) 338-1230
(281) 338-1239
Mailing address
610 E MAIN ST, LEAGUE CITY, TX 77573-2458
(281) 338-1230
(281) 338-1239
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
5357TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0078FE
BLUE CROSS BLUE SHIELD
TX
01
—
10633
DAVIS
TX
01
—
57733
SAFEGUARD
TX
01
—
75022122
AETNA
TX
01
—
926746
BLOCK VISION
TX
Enumeration date
08/05/2006
Last updated
08/22/2020
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