Provider Demographics
NPI:1366920787
Name:MY EYES MD, PA
Entity type:Organization
Organization Name:MY EYES MD, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BIDROS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-500-3653
Mailing Address - Street 1:902 FROSTWOOD DR STE 284
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-2403
Mailing Address - Country:US
Mailing Address - Phone:832-667-8254
Mailing Address - Fax:
Practice Address - Street 1:902 FROSTWOOD DR STE 284
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-2403
Practice Address - Country:US
Practice Address - Phone:281-500-3653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-30
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty