Provider Demographics
NPI:1316788813
Name:SANTE EYECARE, PLLC
Entity type:Organization
Organization Name:SANTE EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:KELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-835-9573
Mailing Address - Street 1:2002 E 7TH ST APT 232
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78702-3590
Mailing Address - Country:US
Mailing Address - Phone:713-835-9573
Mailing Address - Fax:
Practice Address - Street 1:801 WELLS BRANCH PKWY
Practice Address - Street 2:STE 110
Practice Address - City:PFLUGERVILLE
Practice Address - State:TX
Practice Address - Zip Code:78660
Practice Address - Country:US
Practice Address - Phone:512-548-9353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty