CYNTHIA LACY-STALLWORTH, O.D. LLC (NPI# 1083814610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083814610 |
| Entity Type | Organization |
| Organization Name | CYNTHIA LACY-STALLWORTH, O.D. LLC |
| Practice Address |
1615 S Loop W Houston TX 77054-4814 |
| Practice Telephone | 7137962216 |
| Practice Fax Number | 7133837612 |
| Mailing Telephone | 7137962216 |
| Mailing Fax Number | 7133837612 |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |
| Authorized Official Name | CYNTHIA LACY-STALLWORTH (OPTOMETRIST) |
| Authorized Official Telephone | 7137345376 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
06786T | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 01560081 | 05 |
| Street Address |
1615 S LOOP W |
| City | HOUSTON |
| State | TX |
| Zip Code | 77054-4814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831139468 | Thanh Truong | Optometrist | 1615 S Loop W, Houston, TX 77054-4814 | 2006-06-08 |
| 1821399072 | Eyecare Associates | Optometrist | 1615 S Loop W, Houston, TX 77054-4814 | 2010-11-04 |
| 1174542674 | Kate Yang | Optometrist | 1615 S Loop W, Houston, TX 77054-4814 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006924 | Sphinx Pharmacy Group Webster Inc | Pharmacy | 2656 S Loop W Suite 275, Houston, TX 77054 | 2019-08-01 |
| 1164076618 | Pearland Unicare Pharmacy LLC | Pharmacy | 7400 Fannin Street Suite 120, Houson, TX 77054 | 2019-08-01 |
| 1144873092 | Megan Hoenig | Genetic Counselor, MS | 2525-a Holly Hall St., Suite 3c, Houston, TX 77054 | 2019-07-19 |
| 1043781701 | Lisa Vercellino Salazar | Nurse Practitioner | The Woman's Hospital of Texas, 7600 Fannin, Houston, TX 77054 | 2018-12-06 |
| 1619447257 | Karee Harris | Specialist/Technologist, Other | 7400 Fannin St Suite 850 Tx, Houston, TX 77054 | 2018-11-27 |
| 1245715374 | Van Hoai Thi Hoang | Pharmacist | 2525a Holly Hall, Houston, TX 77054 | 2018-09-25 |
| 1093294639 | Yolanda Williams-vasquez | Licensed Vocational Nurse | 3131 W Bellfort Ave, Houston, TX 77054 | 2018-08-13 |
| 1104304542 | Reji Mammen | Dentist | 2120 El Paseo St., Apt 2607, Houston, TX 77054 | 2018-07-28 |
| 1912484825 | Saeed Yazdianpour | Dentist | 7600 Cambridge St, Houston, TX 77054 | 2018-07-24 |
| 1811480742 | Dominik Andrzej Rudecki | Student in an Organized Health Care Education/Training Program | 7500 Cambridge St, Suite 6510, Houston, TX 77054 | 2018-06-14 |
| Find all providers in zip 77054 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790398519 | Triniti Obgyn and Medspa, Pllc | Clinic/Center | 10902 Katy Fwy Apt 503, Houston, TX 77043-4918 | 2020-08-31 |
| 1215545751 | Fullilove Prregnancy Center | Clinic/Center | 1640 E Tc Jester Blvd Apt 1123, Houston, TX 77008-2579 | 2020-07-21 |
| 1265063853 | Egolink Express Inc | Clinic/Center | 10333 Harwin Dr Ste 518, Houston, TX 77036-1561 | 2020-02-01 |
| 1588201172 | Ptsd Foundation of America | Clinic/Center | 9724 Derrington Rd, Houston, TX 77064-5808 | 2019-12-03 |
| 1841840915 | Christine C Gooch | Clinic/Center | 8145 Highway 6 S Ste 130, Houston, TX 77083-5740 | 2019-09-19 |
| 1437713328 | Vascmed LLC | Clinic/Center | 14441 Memorial Dr Ste 16, Houston, TX 77079-6737 | 2019-04-25 |
| 1467916940 | Rcb Funding Group LLC | Clinic/Center | 950 Threadneedle St # 295, Houston, TX 77079-2925 | 2019-01-29 |
| 1083107379 | Testosterone Rejuvenation and Medical Spa, Inc | Clinic/Center | 430 Highway 6 S Ste 204, Houston, TX 77079-2339 | 2018-06-11 |
| 1235629049 | Star Luxury Enterprises Inc | Clinic/Center | 10101 Bissonnet St Ste 101, Houston, TX 77036-7855 | 2018-05-16 |
| 1679096721 | Hope Adol Outpatient Txt Center for Mental and Behavior Health, LLC | Clinic/Center | 9006 Scott St, Houston, TX 77051-2751 | 2017-07-20 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.