Organization
EYE MAX
Active
Other names
pearle vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA NGO O.D. (OWNER)
(713) 722-9066
Entity
Organization
Contact information
Practice address
1343 S VOSS RD, HOUSTON, TX 77057-1023
(713) 722-9066
(713) 722-0690
Mailing address
1343 S VOSS RD, HOUSTON, TX 77057-1023
(713) 722-9066
(713) 722-0690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5452100001
PALMETTO SUPPLIER #
TX
Enumeration date
04/07/2007
Last updated
08/29/2007
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