Provider Demographics
NPI:1043324882
Name:HEIGHTS EYE CENTER OPTICAL
Entity type:Organization
Organization Name:HEIGHTS EYE CENTER OPTICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:J
Authorized Official - Last Name:LINZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-869-7461
Mailing Address - Street 1:427 W 20TH ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2441
Mailing Address - Country:US
Mailing Address - Phone:713-869-7461
Mailing Address - Fax:713-861-1410
Practice Address - Street 1:427 W 20TH ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2441
Practice Address - Country:US
Practice Address - Phone:713-869-7461
Practice Address - Fax:713-861-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0512930001Medicare ID - Type Unspecified