Organization
EAGLE FAMILY VISION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE E. GREGORY O.D. (OWNER/PHYSICIAN)
(281) 573-9501
Entity
Organization
Contact information
Practice address
3650 EAGLE CREEK DRIVE, MONT BELVIEU, TX 77580-0147
(281) 573-9501
Mailing address
PO BOX 147, 3650 EAGLE CREEK DRIVE, MONT BELVIEU, TX 77580-0147
(281) 573-9501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
156FX1800X
Optician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
03/06/2008
Last updated
03/31/2008
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