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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRAZOSPORT PROFESSIONAL EYE CLINIC INC

Active Organization

BRAZOSPORT PROFESSIONAL EYE CLINIC INC is a Optometrist organization located in LAKE JACKSON, Texas. NPI 1073607370 is currently active in the NPPES registry. Verify at CMS.

Optometrist · LAKE JACKSON, TX

Registration Details

NPI Number
1073607370
Provider Type
Organization
NPI Issued
Oct 3, 2006 (19.680261317375 yrs)
Last Updated
Dec 11, 2008
License
3979TG (TX)

Practice Information

Address
123 CIRCLE WAY
LAKE JACKSON, TX, 775665233
Browse TX providers · Browse ZIP 77566
Phone
9792993250
Fax
9792991724
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in LAKE JACKSON, TX

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.