Provider Demographics
NPI:1861525362
Name:FOR EYES, INC.
Entity type:Organization
Organization Name:FOR EYES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:GARZA
Authorized Official - Last Name:MONTEMAYOR
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:281-493-1166
Mailing Address - Street 1:2693 HIGHWAY 6 S
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1703
Mailing Address - Country:US
Mailing Address - Phone:281-493-1166
Mailing Address - Fax:281-493-0043
Practice Address - Street 1:2693 HIGHWAY 6 S
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-1703
Practice Address - Country:US
Practice Address - Phone:281-493-1166
Practice Address - Fax:281-493-0043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2013-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3367T332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3367TOtherTX OD LICENSE
TX81003EMedicare ID - Type Unspecified
TXU14087Medicare UPIN