Provider Demographics
NPI:1902473457
Name:KVINTA, TYLER AUSTIN (OD)
Entity type:Individual
Prefix:DR
First Name:TYLER
Middle Name:AUSTIN
Last Name:KVINTA
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1102 S FRIENDSWOOD DR STE A
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4899
Mailing Address - Country:US
Mailing Address - Phone:281-482-0066
Mailing Address - Fax:281-482-5446
Practice Address - Street 1:1102 S FRIENDSWOOD DR STE A
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4899
Practice Address - Country:US
Practice Address - Phone:281-482-0066
Practice Address - Fax:281-482-5446
Is Sole Proprietor?:No
Enumeration Date:2021-06-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX10320152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist