Organization
EYECON EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL C WEN OD (OWNER)
(832) 971-8910
Entity
Organization
Contact information
Practice address
4600 7TH ST, BAY CITY, TX 77414-8743
(832) 971-8910
Mailing address
4703 APPLE ROCK CT, SUGAR LAND, TX 77479-3069
(832) 971-8910
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7705T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7705T
OPTOMETRY LICENSE N;UMBER
—
Enumeration date
02/03/2012
Last updated
02/03/2012
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