Provider Demographics
NPI:1316703952
Name:LAND, ELIZABETH LOUISE (OD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:LOUISE
Last Name:LAND
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18506 HARDY TRACE DR
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-2522
Mailing Address - Country:US
Mailing Address - Phone:541-207-4595
Mailing Address - Fax:
Practice Address - Street 1:32822 FM 2978 RD STE 1200
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-7715
Practice Address - Country:US
Practice Address - Phone:281-249-2284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-21
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11037152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist