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1440 Lake Woodlands Dr, Spring, TX 77380-3273 | |
| (832) 412-2020 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1440 Lake Woodlands Dr, Spring, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073919833 | NPI | - | NPPES |
| 092991101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5527TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1440 Lake Woodlands Dr, Spring, TX 77380-3273 Ph: (832) 412-2020 | 1440 Lake Woodlands Dr, Spring, TX 77380-3273 Ph: (832) 412-2020 |
Luis Gerardo Diaz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 25511 Budde Rd Ste 3801, Spring, TX 77380 Phone: 281-419-3355 | |
Dr. Aimee Beth Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6526 Louetta Rd Ste C, Spring, TX 77379 Phone: 281-376-4551 Fax: 281-251-8684 | |
Kiannah Nicole Lagunas, OD Optometrist Medicare: Medicare Enrolled Practice Location: 10227 Birchline Dr, Spring, TX 77379 Phone: 281-639-5665 |