Provider Demographics
NPI:1881125151
Name:PREMIER VIEW PLLC
Entity type:Organization
Organization Name:PREMIER VIEW PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:L
Authorized Official - Last Name:CLYDE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-814-3937
Mailing Address - Street 1:11601 SHADOW CREEK PKWY STE 111-168
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7283
Mailing Address - Country:US
Mailing Address - Phone:713-814-3937
Mailing Address - Fax:713-814-3897
Practice Address - Street 1:208 W COOMBS ST
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-2827
Practice Address - Country:US
Practice Address - Phone:713-814-3937
Practice Address - Fax:713-814-3897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8232TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty