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SPACE CITY VISION CENTER NPI 1174706220


NPI Information

NPI: 1174706220
Provider Name: SPACE CITY VISION CENTER
Classification: Optometrist - 152WC0802X
Entity Type: Organization

Specialization: Corneal and Contact Management

Address:
17100 GLENMOUNT PARK DR
SUITE B
WEBSTER, TX
ZIP 77598
Phone: (281) 488-8860
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SPACE CITY VISION CENTER is a corneal and contact management optometrist in Webster, TX. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. SPACE CITY VISION CENTER NPI is 1174706220. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17100 GLENMOUNT PARK DR
SUITE B
WEBSTER, TX
ZIP 77598-368
Phone: (281) 488-8860
Fax: (281) 488-0775

The provider's authorized official is George Louis Hall .
The authorized official title is Doctor/owner and has the following contact phone number (281) 488-8860.

The enumeration date for this NPI number is 12/12/2007 and was last updated on 12/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152WC0802XOptometristCorneal and Contact Management2091TGTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100235WMEDICARE PINTEXAS
2T13633MEDICARE UPINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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