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SOUTH EAST TEXAS LASER EYE INSTITUTE NPI 1669402830


NPI Information

NPI: 1669402830
Provider Name: SOUTH EAST TEXAS LASER EYE INSTITUTE
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3000 39TH ST
SUITE 105
PORT ARTHUR, TX
ZIP 77642
Phone: (409) 985-2745
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SOUTH EAST TEXAS LASER EYE INSTITUTE is a clinic center in Port Arthur, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SOUTH EAST TEXAS LASER EYE INSTITUTE NPI is 1669402830. The provider is registered as an organization entity type.

The provider's business location address is:

3000 39TH ST
SUITE 105
PORT ARTHUR, TX
ZIP 77642-517
Phone: (409) 985-2745
Fax: (409) 985-2661

The provider's authorized official is Raj K. Singla .
The authorized official title is Owner and has the following contact phone number (409) 985-2745.

The enumeration date for this NPI number is 7/4/2006 and was last updated on 8/22/2020.


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
1261Q00000XClinic/CenterYes

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
10006HQOTHERTEXASBLUECROSSBLUE SHIELD

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

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