Organization
SURGICAL EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER SUTHERLAND DAWSON MD (OWNER)
(713) 869-6400
Entity
Organization
Contact information
Practice address
1229 CAMPBELL RD, HOUSTON, TX 77055
(713) 467-6600
(713) 467-7914
Mailing address
1631 NORTH LOOP WEST, SUITE 500, HOUSTON, TX 77008
(713) 869-6400
(713) 802-0691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
03629TG
TX
152W00000X
Optometrist
05253T
TX
207W00000X
Ophthalmology Physician
F0436
TX
207W00000X
Ophthalmology Physician
G2587
TX
207W00000X
Ophthalmology Physician
G8431
TX
332H00000X
Eyewear Supplier
Primary
1048950003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
083903701
—
TX
05
—
093137404
—
TX
05
—
104405902
—
TX
05
—
114542701
—
TX
05
—
139414003
—
TX
Enumeration date
04/20/2007
Last updated
05/16/2008
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