Provider Demographics
NPI:1871625103
Name:ISZARD, THOMAS GEOFFREY (OD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:GEOFFREY
Last Name:ISZARD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:THOMAS
Other - Middle Name:GEOFFREY
Other - Last Name:ISZARD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1315 ST JOSEPH PKWY STE 150
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8233
Mailing Address - Country:US
Mailing Address - Phone:713-659-3937
Mailing Address - Fax:713-337-6801
Practice Address - Street 1:1315 ST JOSEPH PKWY STE 1205
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8235
Practice Address - Country:US
Practice Address - Phone:713-659-3937
Practice Address - Fax:713-337-6801
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4099-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist