Organization
M & M OPTICAL INC
Active
Other names
FALCON PASS VISION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA MARIE MAXWELL-MALIK O.D. (DR/OPTOMETRIST)
(281) 461-3937
Entity
Organization
Contact information
Practice address
2409 FALCON PASS, SUITE 180, HOUSTON, TX 77062-6238
(281) 461-3937
(281) 461-6084
Mailing address
2409 FALCON PASS, SUITE 180, HOUSTON, TX 77062-6238
(281) 461-3937
(281) 461-6084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4123TG
TX
152WC0802X
Corneal and Contact Management Optometrist
4123TG
TX
152WP0200X
Pediatric Optometrist
4123TG
TX
152WS0006X
Sports Vision Optometrist
4123TG
TX
152WV0400X
Vision Therapy Optometrist
4123TG
TX
Other
Enumeration date
12/01/2007
Last updated
05/01/2013
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