Eagle Eye Center Bellaire LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6480TG Issued in TX

Legal business name

EAGLE EYE CENTER BELLAIRE LLC

Practice address

9188 Bellaire Blvd
Suite 1
Houston, TX 77036-4623

Phone

(713) 270-9188

Fax

(713) 271-9188

NPI assigned

Oct 5, 2011

Last updated

Oct 5, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Yaqun Bao, OD

Title

Owner

Phone

(713) 270-9188

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1558645879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9188 BELLAIRE BLVD",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364623",
            "telephone_number": "713-270-9188",
            "fax_number": "713-271-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9188 BELLAIRE BLVD",
            "address_2": "SUITE 1",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770364623",
            "telephone_number": "713-270-9188",
            "fax_number": "713-271-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE CENTER BELLAIRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "YAQUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-270-9188",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6480TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS OPTOMETRY LICENSE",
            "identifier": "6480TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Houston, TX
• Providers in Houston, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.