Organization
BAY AREA OPTOMETRY GROUP
Active
Other names
TSO - Clear Lake Marketplace
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA RYAN DEVERA OD (MANAGER)
(281) 910-4604
Entity
Organization
Contact information
Practice address
3457 CLEAR LAKE CITY BLVD # 500, HOUSTON, TX 77059-2516
(281) 910-4604
Mailing address
6106 TIMBERMOSS CT, LEAGUE CITY, TX 77573-2592
(281) 910-4604
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/16/2020
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