TYLER OPTICAL LAB INC NPI 1174558894

NPI Information

NPI: 1174558894
Provider Name: TYLER OPTICAL LAB INC

Doing Business As: BARRETT OPTICIANS

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
4568 S. BROADWAY AVE.
TYLER, TX
ZIP 75703
Phone: (903) 581-5451
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TYLER OPTICAL LAB INC is an eyewear supplier in Tyler, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. TYLER OPTICAL LAB INC NPI is 1174558894. The provider is registered as an organization entity type.
The provider Is Doing Business As Barrett Opticians.

The provider's business location address is:

4568 S. BROADWAY AVE.
TYLER, TX
ZIP 75703-305
Phone: (903) 581-5451

The provider's authorized official is Gail A Pelkey .
The authorized official title is Owner and has the following contact phone number (903) 581-5451.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 2/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332H00000X	Eyewear Supplier				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4234910001	MEDICARE NSC	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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