SOUTHEAST TEXAS EYE SPECIALISTS, PLLC (NPI# 1114902442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114902442 |
Entity Type | Organization |
Organization Name | SOUTHEAST TEXAS EYE SPECIALISTS, PLLC |
Other Organization Name | EYE CENTERS OPTICAL I-10 |
Practice Address |
3345 Plaza 10 Dr Suite B Beaumont TX 77707-2554 |
Practice Telephone | 4098331314 |
Practice Fax Number | 4098339039 |
Mailing Telephone | 4098331314 |
Mailing Fax Number | 4098339039 |
Enumeration Date | 2005-12-09 |
Last Update Date | 2020-01-27 |
Authorized Official Name | MS. SANDRA JOYCE MELTON (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4098330009 |
Authorized Official Credential | MANAGEMENT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | TX | Suppliers |
Other Name | Type Code |
---|---|
Eye Centers Optical | Doing Business As Name - Organization |
Eye Centers Optical I-10 | Doing Business As Name - Organization |
Street Address |
3345 PLAZA 10 DR SUITE B |
City | BEAUMONT |
State | TX |
Zip Code | 77707-2554 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102290 | Mark Kevin Harmon | Ophthalmology | 3345 Plaza 10 Dr, Ste B, Beaumont, TX 77707-2553 | 2005-05-31 |
1306259742 | Rahul Patri Md Pllc | Internal Medicine | 3345 Plaza 10 Dr, Ste E, Beaumont, TX 77707-2554 | 2014-06-03 |
1235474834 | Michael L. Smith, M.d., P.a. | Internal Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554 | 2012-12-07 |
1467719237 | Craig Joseph Meaux Jr. | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2012-04-18 |
1790881373 | Michael Leigh Smith | Internal Medicine | 3345 Plaza 10 Dr, E, Beaumont, TX 77707-2554 | 2006-09-15 |
1649249152 | Robert Leldon Sweet | Internal Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554 | 2006-03-16 |
1114996006 | Cardiac Consultants Pa | Nuclear Medicine | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2553 | 2006-03-14 |
1790756898 | Shannon Dean Lucas | Nurse Practitioner | 3345 Plaza 10 Dr, Suite E, Beaumont, TX 77707-2554 | 2006-01-28 |
1124003454 | Eye Centers of Southeast Texas LLP | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2005-12-09 |
1578564530 | Vivek Raizada | Ophthalmology | 3345 Plaza 10 Dr, Suite B, Beaumont, TX 77707-2554 | 2005-08-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437718004 | Kelsey Marie Burt | Speech-Language Pathologist | 87 I-10, Beaumont, TX 77707 | 2019-06-07 |
1245898808 | Primary Care Anywhere, Pllc | Nurse Practitioner | 4347 Phelan, Suite 101, Beaumont, TX 77707 | 2019-05-30 |
1598321663 | Kacy Keitha Priddy | Occupational Therapist | 1846 I-10 S, Suite 102, Beaumont, TX 77707 | 2019-05-14 |
1144791963 | Jeffery Ray Manzer | Counselor | 3350 Dowlen Rd Suite J, Beaumont, TX 77707 | 2018-12-06 |
1497247217 | Haley Hebert | Speech-Language Pathologist | 87 I 10 N, Suite 225, Beaumont, TX 77707 | 2018-06-06 |
1548712383 | Taylor Miguez | Speech-Language Pathologist | 87 I-10 Frontage Rd #225, Beaumont, TX 77707 | 2016-10-27 |
1720534043 | Jacie Woodson | Speech-Language Pathologist | 87 I-10 Frontage Rd. 225, Beaumont, TX 77707 | 2016-08-28 |
1285187047 | Paula Boudreaux | Speech-Language Pathologist | 87 I-10 Frontage Rd, Suite 225, Beaumont, TX 77707 | 2016-07-28 |
1790138568 | Meagan Alyse Hartwick | Speech-Language Pathologist | 87 I-10 Frontage Rd., 225, Beaumont, TX 77707 | 2016-07-18 |
1376992578 | Laurie Lynette Jansky | Family Medicine | 3650 Laurel Ave, Beaumont, TX 77707 | 2016-06-08 |
Find all providers in zip 77707 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689998825 | New Columbian Optical Company | Eyewear Supplier (Equipment, not the service) | 3180 Stagg Dr, Beaumont, TX 77701-4501 | 2010-03-17 |
1053519686 | Essilor Laboratories of America, L.p. | Eyewear Supplier (Equipment, not the service) | 4925 W Cardinal Dr, Beaumont, TX 77705-2602 | 2007-07-05 |
1588720593 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6461 Eex Freeway, Parkdale Mall, Beaumont, TX 77708-6706 | 2006-12-28 |
1952499428 | Eyemasters of Texas, Ltd. | Eyewear Supplier (Equipment, not the service) | 522 Parkdale Mall, Beaumont, TX 77706 | 2006-10-10 |
1225120256 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6155 Eastex Fwy Ste 699, Beaumont, TX 77706-6701 | 2006-09-28 |
1598163669 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 5854 Eastex Fwy, Beaumont, TX 77708-4824 | 2014-12-05 |
1659691707 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 6461 Eex Freeway, Parkdale Mall, Beaumont, TX 77708-6706 | 2010-06-10 |
1720241029 | Smith-hayes Optical Service, Inc | Eyewear Supplier (Equipment, not the service) | 229 Dowlen Rd, Suite 4a, Beaumont, TX 77706-5919 | 2008-07-07 |
1154306488 | Beaumont Eye Associates Pllc | Eyewear Supplier (Equipment, not the service) | 3129 College St, Suite 100, Beaumont, TX 77701-4653 | 2005-12-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
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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.