EYE SURGERY CENTER OF EAST TEXAS LLC NPI 1396266441

NPI Information

NPI: 1396266441
Provider Name: EYE SURGERY CENTER OF EAST TEXAS LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 45D2134604

Address:
2448 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 535-3000
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EYE SURGERY CENTER OF EAST TEXAS LLC is an ambulatory surgical clinic center in Tyler, TX. EYE SURGERY CENTER OF EAST TEXAS LLC NPI is 1396266441. The provider is registered as an organization entity type.

The provider's business location address is:

2448 E 5TH ST
TYLER, TX
ZIP 75701
Phone: (903) 535-3000

The provider's authorized official is Curtis J Pennell .
The authorized official title is Medical Director and has the following contact phone number (903) 595-0500.

The CLIA number assigned to this NPI record is 45D2134604 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/29/2017 and was last updated on 4/12/2024.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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