Provider Demographics
NPI:1144539875
Name:PEARLAND EYE ASSOCIATES, LLC
Entity type:Organization
Organization Name:PEARLAND EYE ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MY
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-573-7066
Mailing Address - Street 1:11509 VETERANS MEMORIAL DR
Mailing Address - Street 2:900
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-2603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8498 S SAM HOUSTON PKWY E
Practice Address - Street 2:1300
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77075
Practice Address - Country:US
Practice Address - Phone:832-573-7066
Practice Address - Fax:281-580-3933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty