EYE SURGERY CENTER OF EAST TEXAS, PLLC (NPI# 1396266441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396266441 |
| Entity Type | Organization |
| Organization Name | EYE SURGERY CENTER OF EAST TEXAS, PLLC |
| Practice Address |
2448 E 5th St Tyler TX 75701 |
| Mailing Address |
2440 E 5th St Tyler TX 75701-3525 |
| Practice Telephone | 9035950500 |
| Enumeration Date | 2017-06-29 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | CURTIS J PENNELL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9035950500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
2448 E 5TH ST |
| City | TYLER |
| State | TX |
| Zip Code | 75701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962057059 | Gonzalo Fernandez | Physical Therapy Assistant | 753 S Beckham Ave, Tyler, TX 75701 | 2019-08-06 |
| 1215422654 | Adrianna Bussell | Nurse Practitioner | 1000 South Beckham, Tyler, TX 75701 | 2018-06-28 |
| 1285128017 | Idowu Akintokunbo Akinyele | Dentist | Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 | 2018-06-15 |
| 1992208912 | Heather Renee Vancleave | Occupational Therapy Assistant | 1228 Louann Lane, Tyler, TX 75701 | 2018-03-15 |
| 1497260533 | Smile Workshop Mckinney, Pllc | Dentist | 301 N. Custer Rd, Mckinney, TX 75701 | 2017-12-12 |
| 1962936369 | Collins Complete Family Care | Nurse Practitioner | 1910 E Se Loop 323 # 176, Tyler, TX 75701 | 2017-04-12 |
| 1386187052 | Fellowship Health Team LLC | Home Health | 1124 S Fleishel Ave, Tyler, TX 75701 | 2016-11-29 |
| 1205382454 | Brenton Robinson | Nurse Practitioner | 1100 East Lake St, 160, Tyler, TX 75701 | 2016-08-28 |
| 1851846208 | Care First Pharmacy, LLC | Pharmacy | 1910 Roseland Blvd A, Tyler, TX 75701 | 2016-08-15 |
| 1609225515 | Goodwill Industries of East Texas, Inc. | Voluntary or Charitable | 1817 Loop 323 Wsw, Tyler, TX 75701 | 2016-06-10 |
| Find all providers in zip 75701 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063819860 | Tyler Asc, Lp | Clinic/Center | 1767 Troup Hwy, Tyler, TX 75701 | 2014-11-24 |
| 1902090822 | Turtle Creek Surgery Center | Clinic/Center | 801 Turtle Creek Dr, Tyler, TX 75701-1937 | 2007-09-04 |
| 1740293034 | Tyler Endoscopy Center, Ltd | Clinic/Center | 1722 South Beckham Ave, Tyler, TX 75701 | 2006-08-15 |
| 1700822335 | Oliver Street Dermatology Asc LLC | Clinic/Center | 1367 Dominion Plaza, Tyler, TX 75703-1013 | 2006-06-21 |
| 1083606867 | Novamed Surgery Center of Tyler, Lp | Clinic/Center | 802 Turtle Creek Dr, Tyler, TX 75701 | 2005-08-18 |
| 1699819979 | Turtle Creek Surgery Center LLC | Clinic/Center | 805 Turtle Creek Dr, Tyler, TX 75701-1937 | 2007-02-19 |
| 1417941295 | University of Texas Health Science Center At Tyler | Clinic/Center | 11937 Us Highway 271, Tyler, TX 75708-3154 | 2005-09-07 |
| 1720081664 | Heaton Laser & Surgery Center, LLC | Clinic/Center | 3415 Golden Rd, Tyler, TX 75701-8355 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326785 | Texas Partners Center | Clinic/Center | 3304 Colorado Blvd Ste 203, Denton, TX 76210-6873 | 2020-11-02 |
| 1730789231 | Zeo Surgical Center LLC | Clinic/Center | 4511 Horizon Hill Blvd Ste 100, San Antonio, TX 78229-2399 | 2020-10-26 |
| 1194323725 | Mission Surgery Center LLC | Clinic/Center | 603 E Amber St, Suite 103, San Antonio, TX 78221-7822 | 2020-10-15 |
| 1083211809 | Forest Landing Surgical Center LLC | Clinic/Center | 9303 New Trails Dr Ste 185, The Woodlands, TX 77381-5009 | 2020-10-05 |
| 1457968430 | Park Ventura Endoscopy Center, LLC | Clinic/Center | 981 State Highway 121, Suite 2100, Allen, TX 75013 | 2020-09-24 |
| 1851904056 | Zenith Surgery Center | Clinic/Center | 10710 Kuykendahl Rd Ste 160, The Woodlands, TX 77381-2695 | 2020-08-26 |
| 1063024719 | Horizon Surgery Center | Clinic/Center | 2813 Smith Ranch Rd Ste 180, Pearland, TX 77584-5254 | 2020-08-22 |
| 1376151944 | Rhythm Endovascular & Heart Asc LLC | Clinic/Center | 5418 N Loop 1604 W Ste 250, San Antonio, TX 78249-1207 | 2020-07-20 |
| 1720603079 | Texas Health Surgery Center Chisholm Trail, LLC | Clinic/Center | 5900 Altamesa Blvd, Fort Worth, TX 76132-5473 | 2020-06-12 |
| 1831714419 | Encor Asc, LLC | Clinic/Center | 103 Whispering Winds Dr, Gunter, TX 75058-2560 | 2020-06-10 |
| Find all providers with the same taxonomy | ||||
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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.