MEDICAL CENTER OPTICAL LLC


Address: 2240 W Holcombe Blvd Ste B, Houston, TX 77030-2008
Phone: 7136645678

MEDICAL CENTER OPTICAL LLC (NPI# 1245783109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245783109
Entity Type Organization
Organization Name MEDICAL CENTER OPTICAL LLC
Practice Address 2240 W Holcombe Blvd Ste B
Houston
TX 77030-2008
Practice Telephone 7136645678
Mailing Telephone 7136645678
Enumeration Date 2016-07-27
Last Update Date 2016-07-27
Authorized Official Name PETER A CANOVAS JR. (MBR)
Authorized Official Telephone 7136645678
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
156FX1800X TX Eye and Vision Services Providers

Office Location

Street Address 2240 W HOLCOMBE BLVD STE B
City HOUSTON
State TX
Zip Code 77030-2008

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1790307288 Ayushi Jayesh Shah Student in an Organized Health Care Education/Training Program 6560 Fannin St, Department of Neurology, Houston Method, Suite 802, Scurlock. 8thfloor, Houston, TX 77030 2020-05-07
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1710516513 Thomas Chi Han Lu Student in an Organized Health Care Education/Training Program 6431 Fannin Street, Msb 3.151, Houston, TX 77030 2020-04-03
1063041085 Kevin Tang Student in an Organized Health Care Education/Training Program 7200 Cambridge., Bcm 903, Suite A10.202, Houston, Texas, TX 77030 2020-04-02
1831728898 Taylor Renbarger Student in an Organized Health Care Education/Training Program 6431 Fannin St Suite Jjl 431, Houston, TX 77030 2020-04-02
1972131423 Sindhu R Rao Student in an Organized Health Care Education/Training Program 7200 Cambridge Street, 9th Floor, Suite 9a, Houston, TX 77030 2020-03-31
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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1720517857 Desiree M Ogundolie Technician/Technologist 14010 S Post Oak Rd Ste 1105, Houston, TX 77045-5157 2017-06-12
1801345038 National Vision, Inc. Technician/Technologist 14243 East Sam Houston Pkwy N, Suite 1000, Houston, TX 77044 2016-09-29
1861949430 National Vision, Inc. Technician/Technologist 4811 Hwy 6 N, Unit # 12b, Houston, TX 77084 2016-09-01
1376996272 Cenovio Caudillo Technician/Technologist 7755 W Bellfort St, Houston, TX 77071-2104 2016-07-15
1952776619 National Vision, Inc. Technician/Technologist 11809 Wilcrest Dr, Houston, TX 77031-1919 2015-12-07
1962877993 National Vision, Inc. Technician/Technologist 11168 Fondren Rd, Houston, TX 77096-5506 2015-12-02
1790159606 National Vision, Inc. Technician/Technologist 929 N Shepherd Dr, Houston, TX 77008-6526 2015-11-17
1548639263 National Vision, Inc. Technician/Technologist 12928 Willow Chase Dr, Houston, TX 77070-5641 2015-09-23
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Competitor

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City HOUSTON
Zip Code 77030

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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