Contract Details
Ancillary Care Services
Facility name
Pearle Vision Bunker Hill
Provider ID
P000003700
NPI
1043523129
Tax ID
263848810
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
9738 Katy Freeway Suite 500
Houston, TX 77055
United States
County
Harris
Phone
7134682424 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Optometry
Map
Address