Provider Demographics
NPI:1679711048
Name:ACCESS EYE CARE PLLC
Entity type:Organization
Organization Name:ACCESS EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTERO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-995-0042
Mailing Address - Street 1:1445 NORTH LOOP W
Mailing Address - Street 2:SUITE 950
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1661
Mailing Address - Country:US
Mailing Address - Phone:713-868-3895
Mailing Address - Fax:713-868-3998
Practice Address - Street 1:1445 NORTH LOOP W
Practice Address - Street 2:SUITE 950
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1661
Practice Address - Country:US
Practice Address - Phone:713-868-3895
Practice Address - Fax:713-868-3998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-23
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02121T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX02121TOtherTEXAS OPTOMETRY LICENSE
TX02121TOtherTEXAS OPTOMETRY LICENSE
TX0A3626Medicare PIN