EAST TEXAS EYE ASSOCIATES NPI 1770554297

NPI Information

NPI: 1770554297
Provider Name: EAST TEXAS EYE ASSOCIATES

Doing Business As: EAST TEXAS EYE ASSOCIATES SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1306 W FRANK AVE
LUFKIN, TX
ZIP 75904
Phone: (936) 634-8381
Get Directions

EAST TEXAS EYE ASSOCIATES is an ambulatory surgical clinic center in Lufkin, TX. EAST TEXAS EYE ASSOCIATES NPI is 1770554297. The provider is registered as an organization entity type.
The provider Is Doing Business As East Texas Eye Associates Surgery Center.

The provider's business location address is:

1306 W FRANK AVE
LUFKIN, TX
ZIP 75904-313
Phone: (936) 634-8381
Fax: (936) 639-9848

The provider's authorized official is Jo Ann O'neill .
The authorized official title is Administrator and has the following contact phone number (936) 634-8381.

The enumeration date for this NPI number is 2/1/2006 and was last updated on 3/27/2015.

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	210	TEXAS	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	490001072	OTHER	TEXAS	RAILROAD MEDICARE
2	451097	MEDICARE PIN	TEXAS
3	HH1305	OTHER	TEXAS	BLUE CROSS BLUE SHIELD
4	W28881	MEDICARE UPIN	TEXAS
5	127345005	MEDICAID	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

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