| The Lighthouse Of Houston | |
|
3602 W Dallas St Houston TX 77019-1704 | |
| (713) 284-8494 | |
| (713) 284-8468 |
| Full Name | The Lighthouse Of Houston |
|---|---|
| Speciality | Optometrist |
| Location | 3602 W Dallas St, Houston, Texas |
| Authorized Official Name and Position | Gibson Duterroil (PRESIDENT) |
| Authorized Official Contact | 7132848420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Lighthouse Of Houston 3602 W Dallas St Houston TX 77019-1704 Ph: (713) 284-8494 | The Lighthouse Of Houston 3602 W Dallas St Houston TX 77019-1704 Ph: (713) 284-8494 |
| NPI Number | 1588878870 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 2961549811 |
|---|---|
| Medicare Enrollment ID | O20091026000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588878870 | NPI | - | NPPES |
| 000329100 | Other | TX | DAHS |
| 000321000 | Other | TX | DAHS |
| 001000741 | Other | TX | DB WAIVER |
| Provider Name | Nicole Hooper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841293297 PECOS PAC ID: 7416913090 Enrollment ID: I20041206000517 |
| Provider Name | Dorothy Mai Win Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083955504 PECOS PAC ID: 2961452453 Enrollment ID: I20050125000617 |
| Provider Name | Kia B Eldred |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427056787 PECOS PAC ID: 9436289048 Enrollment ID: I20100608000780 |
| Provider Name | Ana Perez-franco |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649273988 PECOS PAC ID: 0446467674 Enrollment ID: I20101228000746 |
| Provider Name | Bernard M Gerber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588616254 PECOS PAC ID: 2961691894 Enrollment ID: I20110107000827 |
| Provider Name | Joseph Nayfach Battilana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043874407 PECOS PAC ID: 3678808896 Enrollment ID: I20190710003051 |
| Provider Name | Lynn Sugarek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659778058 PECOS PAC ID: 1658795257 Enrollment ID: I20200715002404 |
| Provider Name | Bonnie Vegiard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487194072 PECOS PAC ID: 4981024924 Enrollment ID: I20201013003546 |
| Provider Name | Ravena Sosa Jacob |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407567035 PECOS PAC ID: 2466821129 Enrollment ID: I20221220001013 |
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