GULF COAST EYE CENTER, P.A. (NPI# 1366655854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366655854 |
| Entity Type | Organization |
| Organization Name | GULF COAST EYE CENTER, P.A. |
| Practice Address |
117 Circle Way St Lake Jackson TX 77566-5233 |
| Practice Telephone | 9792974042 |
| Practice Fax Number | 9792974686 |
| Mailing Telephone | 9792974042 |
| Mailing Fax Number | 9792974686 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-07-13 |
| Authorized Official Name | JANE HOYT LEIDLEIN (PRESIDENT) |
| Authorized Official Telephone | 9792974042 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QS0132X |
Clinic/Center Specialization: Ophthalmologic Surgery |
J4298 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | 180036211 | 01 |
| TX | 096931303 | 05 | |
| TX | BCBS | 28MV | 01 |
| Street Address |
117 CIRCLE WAY ST |
| City | LAKE JACKSON |
| State | TX |
| Zip Code | 77566-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235110719 | Jane H Leidlein | Ophthalmology | 117 Circle Way St, Lake Jackson, TX 77566-5233 | 2005-11-10 |
| 1306281597 | Bhf Healthcare LLC | Clinic/Center | 117 Circle Way St, Lake Jackson, TX 77566-5233 | 2013-05-02 |
| 1851321194 | Dana Dianne Tolbert | Physical Therapist | 117 Circle Way St, Lake Jackson, TX 77566-5233 | 2006-07-03 |
| 1952346264 | Lake Jackson Rehabilitation and Wellness Center | Physical Therapist | 117 Circle Way St, Lake Jackson, TX 77566-5233 | 2006-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588271746 | Daniel Kent | Pharmacist | 121 Tx-332 W, Lake Jackson, TX 77566 | 2020-09-30 |
| 1134692403 | Gulf Coast Gastroenterology Lab | Clinical Medical Laboratory | 219 Oak Drive South, Suite A, Lake Jackson, TX 77566 | 2019-01-09 |
| 1194266288 | Kaitlin Dingee | Nurse Practitioner | 208 Oak Dr S Ste 502, Lake Jackson, TX 77566 | 2017-03-09 |
| 1326581935 | Nec Lake Jackson Emergency Center, Lp | Clinic/Center | 103 Winding Way, Lake Jackson, TX 77566 | 2016-11-30 |
| 1548618911 | Sara Eddy | Counselor | 109 Circle Way, Lake Jackson, TX 77566 | 2016-05-26 |
| 1689020158 | Baker Chiropractic Center Pllc | Chiropractor | 100-a Plantation Drive, Lake Jackson, TX 77566 | 2016-05-13 |
| 1326409368 | Janet Chen | Pharmacist | 131 Oyster Creek Dr., Lake Jackson, TX 77566 | 2016-03-18 |
| 1164819488 | Eco Dental Care, Pllc | Dentist | 210 Lake Rd, Ste 800 A, Lake Jackson, TX 77566 | 2015-04-24 |
| 1730578196 | Anna Katherine Tucker | Occupational Therapy Assistant | 1052 Cardinal Dr, Richwood, TX 77566 | 2015-01-22 |
| 1306243035 | H-e-b, Lp | Clinical Medical Laboratory | 97 Oyster Creek Drive, Lake Jackson, TX 77566 | 2014-11-24 |
| Find all providers in zip 77566 | ||||
| Taxonomy Code | 261QS0132X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ophthalmologic Surgery |
| Definition to come... |
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| 1437783586 | Brownsville Eye Center | Clinic/Center | 2200 Boca Chica Blvd Ste 106, Brownsville, TX 78521-2241 | 2020-02-27 |
| 1093372104 | Complete Surgery of El Paso LLC | Clinic/Center | 3235 Trawood Dr, El Paso, TX 79936-3836 | 2019-05-23 |
| 1265991855 | Texas Retina Center, Pllc | Clinic/Center | 2929 Weslayan St Apt 1808, Houston, TX 77027-2025 | 2019-03-13 |
| 1952856775 | The Lasik Vision Institute LLC | Clinic/Center | 5307 W Loop 289, Suite 105, Lubbock, TX 79414-1610 | 2016-08-22 |
| 1396151759 | The Lasik Vision Institute LLC | Clinic/Center | 10961 Gateway, Suite 300, El Paso, TX 79935 | 2014-07-07 |
| 1538579313 | Eye Surgery Center of North Dallas | Clinic/Center | 3100 E. Trinity Mills Rd, Carrollton, TX 75006 | 2014-05-02 |
| 1285906479 | Tomas Coronado Md | Clinic/Center | 730 N Main Ave Ste 719, San Antonio, TX 78205-1117 | 2012-02-02 |
| 1386801041 | Affinity Aesthetics Pllc | Clinic/Center | 25410 I-45 North, Spring, TX 77386-1351 | 2008-05-20 |
| 1033316765 | Vista Surgery Center LLC | Clinic/Center | 1400 Common Drive, El Paso, TX 79936 | 2007-06-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE JACKSON |
| Zip Code | 77566 |
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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.