Provider Demographics
NPI:1902933484
Name:OSTRIN, LISA ANNE (OD)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANNE
Last Name:OSTRIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:GREENFIELD
Other - Last Name:OSTRIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4901 CALHOUN RD
Mailing Address - Street 2:ROOM 2107
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-2612
Mailing Address - Country:US
Mailing Address - Phone:713-857-9983
Mailing Address - Fax:
Practice Address - Street 1:4901 CALHOUN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-2612
Practice Address - Country:US
Practice Address - Phone:713-857-9983
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2023152W00000X
TX8381T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist