Provider Demographics
NPI:1053754739
Name:CORPORATE EYE CARE 2 PA
Entity type:Organization
Organization Name:CORPORATE EYE CARE 2 PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/OD
Authorized Official - Prefix:
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:
Authorized Official - Last Name:DONALDSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-394-7773
Mailing Address - Street 1:9550 SPRING GREEN BLVD
Mailing Address - Street 2:SUITE 434
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3758
Mailing Address - Country:US
Mailing Address - Phone:281-394-7773
Mailing Address - Fax:281-394-7779
Practice Address - Street 1:9550 SPRING GREEN BLVD
Practice Address - Street 2:SUITE 434
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3758
Practice Address - Country:US
Practice Address - Phone:281-394-7773
Practice Address - Fax:281-394-7779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty