Organization
BAYSHORE OPTICAL COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER M. HOLLAND M.D. (M.D.)
(713) 944-4828
Entity
Organization
Contact information
Practice address
3320 PLAINVIEW ST, PASADENA, TX 77504-1906
(713) 944-4828
(713) 944-1401
Mailing address
3320 PLAINVIEW ST, PASADENA, TX 77504-1906
(713) 944-4828
(713) 944-1401
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041DG
BLUE CROSS BLUE SHIELD
TX
01
—
0991490001
PALMETTO
—
Enumeration date
08/31/2006
Last updated
08/22/2020
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