Contract Details
Facility name
Central Eye Associates PA
Provider ID
P000003968
NPI
1184633752
Tax ID
760499226
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
238 Meyerland Plaza Mall
Houston, TX 77096
United States
County
Harris
Phone
7137712020 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address