Brazosport Professional Eye Clinic Inc

  • 1073607370 NPI Number
  • |
  • Actived: 17 years ago
  • |
Brazosport Professional Eye Clinic Inc is a health care provider based in Lake Jackson, TX. The NPI Number is 1073607370 and it has been active since 17 years ago. The specialty is Optometrist, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Optometrist services, Brazosport Professional Eye Clinic Inc is an excellent option. We are here to help you get the care you need.

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Overview of Brazosport Professional Eye Clinic Inc

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 10/03/2006
  • Last updated: 12/11/2008

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 3979TG
  • License State: TX

Provider Mailing Address

  • Address: 123 Circle Way
    Lake Jackson, TX 77566
  • Phone: 979-299-3250
  • Fax: 979-299-1724

Provider Practice Location

  • Address: 123 Circle Way
    Lake Jackson, TX 77566
  • Phone: 979-299-3250
  • Fax: 979-299-1724

Authorized Official

  • Name: DR. Mark Allen Provenzano OD
  • Position/Title: Owner
  • Telephone Number: 979-299-3250

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 3979TG
  • License State: TX
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0195042
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: TX
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Brazosport Professional Eye Clinic Inc?
  • A: The npi number for Brazosport Professional Eye Clinic Inc is 1073607370.
  • Q: What are Brazosport Professional Eye Clinic Inc's specialties?
  • A: Brazosport Professional Eye Clinic Inc's specialties are Optometrist and different specialities.
  • Q: Where is Brazosport Professional Eye Clinic Inc business practice location?
  • A: Brazosport Professional Eye Clinic Inc business practice location is 123 Circle Way, Lake Jackson, TX 77566.
  • Q: How to contact Brazosport Professional Eye Clinic Inc?
  • A: You can contact Brazosport Professional Eye Clinic Inc via 979-299-3250.
  • Q: What is the authorized official for Brazosport Professional Eye Clinic Inc?
  • A: The authorized office name is DR. Mark Allen Provenzano OD with position/title is Owner and you can reach the authorized official via phone number 9792993250.
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