Provider Demographics
NPI:1699311969
Name:EYETRENDS MEMORIAL PLLC
Entity type:Organization
Organization Name:EYETRENDS MEMORIAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:EUDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSSORIO
Authorized Official - Suffix:
Authorized Official - Credentials:CONSULTANT
Authorized Official - Phone:832-934-1166
Mailing Address - Street 1:14441 MEMORIAL DR STE 13
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-6737
Mailing Address - Country:US
Mailing Address - Phone:281-497-2988
Mailing Address - Fax:281-497-2919
Practice Address - Street 1:14441 MEMORIAL DR STE 13
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-6737
Practice Address - Country:US
Practice Address - Phone:281-497-2988
Practice Address - Fax:281-497-2919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty