Decordova Eyewear Llc | |
12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 | |
(281) 763-2006 | |
Not Available |
Full Name | Decordova Eyewear Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 12230 West Lake Houston Parkway, Humble, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730613076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kerriann C Hodge |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740504968 PECOS PAC ID: 9133307275 Enrollment ID: I20110621000047 |
Mailing Address | Practice Location Address |
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Decordova Eyewear Llc 25510 Buffalo Springs Ct, Spring, TX 77373-8445 Ph: (281) 763-2006 | Decordova Eyewear Llc 12230 West Lake Houston Parkway, Suite 155, Humble, TX 77044 Ph: (281) 763-2006 |
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