Provider Demographics
NPI:1053725234
Name:WEST OAKS OPTOMETRY, PLLC
Entity type:Organization
Organization Name:WEST OAKS OPTOMETRY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LY
Authorized Official - Middle Name:H
Authorized Official - Last Name:LEAV
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-660-7252
Mailing Address - Street 1:6622 MILLER SHADOW LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-3567
Mailing Address - Country:US
Mailing Address - Phone:281-660-7252
Mailing Address - Fax:
Practice Address - Street 1:6622 MILLER SHADOW LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-3567
Practice Address - Country:US
Practice Address - Phone:281-660-7252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty