Provider Demographics
NPI:1861598187
Name:HYMAN, EVERETT LLOYD (OD)
Entity type:Individual
Prefix:DR
First Name:EVERETT
Middle Name:LLOYD
Last Name:HYMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14441 MEMORIAL DR
Mailing Address - Street 2:SUITE 7
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079
Mailing Address - Country:US
Mailing Address - Phone:281-493-4455
Mailing Address - Fax:281-493-4086
Practice Address - Street 1:14441 MEMORIAL DR
Practice Address - Street 2:SUITE 7
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079
Practice Address - Country:US
Practice Address - Phone:281-493-4455
Practice Address - Fax:281-493-4086
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTG2237152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXG000E78JMedicaid
TX019498701OtherTPI
TX0523450001OtherPALMETTO SUPPPLIER
TXG000E78JMedicaid
TX00E78JMedicare ID - Type Unspecified