Eagle Eye Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

6480TG Issued in TX

Legal business name

EAGLE EYE CENTER LLC

Practice address

1730 Williams Trace Blvd
Suite J
Sugar Land, TX 77478-4055

Phone

(281) 491-2199

Fax

(281) 491-2332

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Yaqun Bao, O.D.

Title

President

Phone

(281) 491-2199

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1609054535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD",
            "address_2": "SUITE J",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-491-2199",
            "fax_number": "281-491-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WILLIAMS TRACE BLVD",
            "address_2": "SUITE J",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784055",
            "telephone_number": "281-491-2199",
            "fax_number": "281-491-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "BAO",
        "authorized_official_first_name": "YAQUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-491-2199",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6480TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "6480TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Sugar Land, TX
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.