Organization
EAGLE EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YAQUN BAO O.D. (PRESIDENT)
(281) 491-2199
Entity
Organization
Contact information
Practice address
1730 WILLIAMS TRACE BLVD, SUITE J, SUGAR LAND, TX 77478-4055
(281) 491-2199
(281) 491-2332
Mailing address
1730 WILLIAMS TRACE BLVD, SUITE J, SUGAR LAND, TX 77478-4055
(281) 491-2199
(281) 491-2332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6480TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6480TG
OPTOMETRY LICENSE
TX
Enumeration date
02/01/2008
Last updated
06/21/2018
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