Provider Demographics
NPI:1891978896
Name:GULFGATE VISION PC
Entity type:Organization
Organization Name:GULFGATE VISION PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ZEINEP
Authorized Official - Middle Name:O
Authorized Official - Last Name:ECHETEBU
Authorized Official - Suffix:
Authorized Official - Credentials:OD,PHD
Authorized Official - Phone:713-641-5353
Mailing Address - Street 1:6888 GULF FWY STE 614
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77087-2550
Mailing Address - Country:US
Mailing Address - Phone:713-641-5353
Mailing Address - Fax:713-645-1097
Practice Address - Street 1:6888 GULF FWY STE 614
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77087-2550
Practice Address - Country:US
Practice Address - Phone:713-641-5353
Practice Address - Fax:713-645-1097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-12
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5392TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
47522OtherSPECTERA
TX83089EOtherB.C.B.S
TX7136415353OtherVSP
TX918393OtherBLOCK VISION
918393OtherBLOCK VISION
TXTX5392OtherEYEMED
TX1430233-01Medicaid
35616OtherAVESIS
TXTX5392OtherEYEMED