Organization
FACTORY EYEGLASS OUTLET, INC.
Active
Other names
Factory Eyeglass/fine eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN BRUCE GINSBERG (PRESIDENT)
(713) 668-2885
Entity
Organization
Contact information
Practice address
2421 W HOLCOMBE BLVD, HOUSTON, TX 77030-1901
(713) 668-2885
(713) 668-3373
Mailing address
2421 W HOLCOMBE BLVD, HOUSTON, TX 77030-1901
(713) 668-2885
(713) 668-3373
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DR0771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5786260001
MEDICARE DME MAC
TX
Enumeration date
05/09/2006
Last updated
05/06/2008
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