Southmore Texas State Optical

LBN: Pasadena Optical Inc
Southmore Texas State Optical is an health care organization with primary practice located at 825 E Southmore Ave , Pasadena TX 77502-1117. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Pasadena Optical Inc can be contacted via phone (713) 473-2020, or through Ford, Thomas A via phone (713) 453-2972.

Contact Information

Primary practice address
825 E Southmore Ave Pasadena TX 77502-1117
Fax:
Website:
Authorized official contact:
Name: Ford, Thomas A

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X

Profile Details

NPI number 1164491544
LBN Legal business name Pasadena Optical Inc
DBA Doing business as Southmore Texas State Optical
Authorized official Ford, Thomas A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated May 11th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164491544 NPPES
Texas MEDICAID 1572786-01

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