Provider Demographics
NPI:1720899073
Name:NOAH ZAVALA, O.D., PLLC
Entity type:Organization
Organization Name:NOAH ZAVALA, O.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NOAH
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:ZAVALA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:409-692-7634
Mailing Address - Street 1:1821 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:TEXAS CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77590-5246
Mailing Address - Country:US
Mailing Address - Phone:409-692-7634
Mailing Address - Fax:
Practice Address - Street 1:2702 PALMER HWY
Practice Address - Street 2:
Practice Address - City:TEXAS CITY
Practice Address - State:TX
Practice Address - Zip Code:77590-6930
Practice Address - Country:US
Practice Address - Phone:409-948-1311
Practice Address - Fax:409-948-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-16
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty