EYEGLASS WORLD (NPI# 1508153347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508153347 |
Entity Type | Organization |
Organization Name | EYEGLASS WORLD |
Practice Address |
4901 S Broadway Ave Tyler TX 75703-1325 |
Mailing Address |
296 Grayson Hwy Lawrenceville GA 30046-5737 |
Practice Telephone | 9035082489 |
Practice Fax Number | 9035082494 |
Mailing Telephone | 7708223600 |
Enumeration Date | 2011-06-30 |
Last Update Date | 2011-06-30 |
Authorized Official Name | SUSAN EDICK (MC ASSISTANT) |
Authorized Official Telephone | 6788923774 |
Is Organization Subpart | Y |
Parent Organization Name | NATIONAL VISION, INC. |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750799128 | Eyeglass World | Technician/Technologist | 4205a Dowlen Rd, Beaumont, TX 77706-6718 | 2014-07-29 |
1336556992 | Eyeglass World | Technician/Technologist | 1337 Coolidge Hwy, Troy, MI 48084-7017 | 2014-07-16 |
1386066447 | Eyeglass World | Technician/Technologist | 3905 Baldwin Rd, Auburn Hills, MI 48326-1220 | 2014-01-09 |
1902227689 | Eyeglass World | Technician/Technologist | 31873 Gratiot Ave, Roseville, MI 48066-4527 | 2013-12-23 |
1598196552 | Eyeglass World | Technician/Technologist | 27793 Novi Rd, Novi, MI 48377-3423 | 2013-12-02 |
1326471855 | Eyeglass World | Technician/Technologist | 778 Beal Parkway Nw, Suite 102, Ft. Walton Beach, FL 32547 | 2013-08-20 |
1780021048 | Eyeglass World | Technician/Technologist | 3635 Us Highway 98 N, Lakeland, FL 33809-3808 | 2013-05-28 |
1235498932 | Eyeglass World | Technician/Technologist | 2109 66th Street N., St. Petersburg, FL 33710 | 2012-05-15 |
1770850471 | Eyeglass World | Technician/Technologist | 4763 Wilson Ave Sw Ste G&h, Grandville, MI 49418-9015 | 2011-11-23 |
1548568702 | Eyeglass World | Technician/Technologist | 77 North Cattlemen Road, Sarasota, FL 34243 | 2011-03-11 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Indiana Business Entities | EYEGLASS WORLD NO. 14, INC. | 333 East Coliseum Blvd, Fort Wayne, IN 46805 |
Washington State Corporations | EYEGLASS WORLD, LLC | 3801 S Congress Ave, Lake Worth, FL 33461 |
Colorado Business Entities | EYEGLASS WORLD, LLC | 296 Grayson Highway, Lawrenceville, GA 30046 |
Indiana Business Entities | EYEGLASS WORLD, LLC | 296 Grayson Highway, Lawrenceville, GA 30046-5750 |
Street Address |
4901 S BROADWAY AVE |
City | TYLER |
State | TX |
Zip Code | 75703-1325 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073593000 | Mimi Ngoc Bao Le | Optometrist | 4901 S Broadway Ave, Tyler, TX 75703-1325 | 2006-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155477 | Choice Supportive Care Team Inc. | Family Medicine | 4293 Kinsey Drive, Tyler, TX 75703 | 2020-02-05 |
1770052532 | Refinery Chiropractic LLC | Chiropractor | 16637 Old Jacksonville Hwy, Suite D, Tyler, TX 75703 | 2018-11-21 |
1215419353 | Deidre Lynn Fergason | Occupational Therapy Assistant | 3505 Old Jacksonville Hwy, Tyler, TX 75703 | 2018-09-05 |
1710473681 | Justin Taylor Ross | Dentist | 8938 S Broadway Ave Ste 380, Tyler, TX 75703 | 2018-07-03 |
1457843450 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 8938 South Broadway, Ste 480, Tyler, TX 75703 | 2018-06-05 |
1083106462 | Integrity Health | Internal Medicine | 5605 Old Bullard Rd Ste B, Tyler, TX 75703 | 2018-06-01 |
1427572544 | Cody Wayne Graham | Pharmacist | 5415 S. Broadway Ave., Tyler, TX 75703 | 2017-07-31 |
1750805941 | Roger Bryan Chapman | Nurse Practitioner | 6115 New Copeland Rd, Tyler, TX 75703 | 2017-07-28 |
1427570084 | Darah Lynne Dahlem | Speech-Language Pathologist | 401 E. Front Street Ste 123, Tyler, TX 75703 | 2017-07-14 |
1194267468 | Herman Lester Hampton Jr. | Surgery | 5803 Regents Row, Tyler, TX 75703 | 2016-11-17 |
Find all providers in zip 75703 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952750325 | National Vision, Inc. | Technician/Technologist | 6710 S Broadway Ave, Ste100, Tyler, TX 75703-4755 | 2016-06-07 |
1912088352 | Wal-mart Stores Texas, LLC | Technician/Technologist | 3820 Highway 64 W, Tyler, TX 75704-6924 | 2006-10-18 |
1972041374 | Wal-mart Stores Texas, LLC | Technician/Technologist | 450 S Southeast Loop 323, Tyler, TX 75702-8646 | 2017-02-06 |
1467533810 | Wal-mart Stores Texas, Lp | Technician/Technologist | 6801 S Broadway Ave, Tyler, TX 75703-4733 | 2006-10-18 |
1174610752 | Sam's Club Optical | Technician/Technologist | 2025 S Southwest Loop 323, Tyler, TX 75701-0763 | 2006-10-06 |
1912004375 | Wal-mart Stores Texas, LLC | Technician/Technologist | 5050 Troup Hwy, Tyler, TX 75707-1916 | 2006-09-20 |
1912923590 | East Texas Eye Care Associates LLC | Technician/Technologist | 2440 E 5th St, Tyler, TX 75701-3525 | 2006-07-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568095271 | Quyen Ngo Nguyen | Technician/Technologist | 1830 S Mason Rd Ste 125, Katy, TX 77450-3240 | 2020-02-20 |
1710522479 | Mikel Rivera | Technician/Technologist | 314 N Walnut St Ste C, Sherman, TX 75090-0047 | 2019-11-16 |
1740822501 | Eyeglasses of Texas | Technician/Technologist | 6200 Bellaire Blvd Ste J, Houston, TX 77081-4902 | 2019-10-14 |
1013558840 | Cristian Villagomez | Technician/Technologist | 2128 Kazmeier Plz, Bryan, TX 77802-3414 | 2019-10-02 |
1104393339 | National Vision Inc | Technician/Technologist | 2525 W Anderson Ln Ste 150, Austin, TX 78757-1180 | 2018-10-25 |
1063987618 | Stephen Williams | Technician/Technologist | 701 Commerce St Ste 629, Dallas, TX 75202-4522 | 2018-10-10 |
1174007207 | National Vision Inc | Technician/Technologist | 3916 Kemp Blvd Ste K, Wichita Falls, TX 76308-2119 | 2018-09-25 |
1295217032 | Richard D Reyes | Technician/Technologist | 115 E Travis St Ste 100, San Antonio, TX 78205-1668 | 2018-08-29 |
1205316890 | Katherine Denney | Technician/Technologist | 202 W Main St Ste 200-107, Allen, TX 75013-8094 | 2018-08-14 |
1407332497 | National Vision Inc | Technician/Technologist | 3649 Catclaw Dr, Abilene, TX 79606-8249 | 2018-07-13 |
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.