Contract Details
Ancillary Care Services
Facility name
Dreams Eye Associates
Provider ID
P000004392
NPI
1376854679
Tax ID
451690161
Effective Date
4/1/2012
Last Updated
10/28/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
12804 Gulf Freeway Suite 700-A
Houston, TX 77089
United States
County
Harris
Phone
8328860080 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address