Angelina Optometric Associates
LBN: Angelina Optometric Associates
Angelina Optometric Associates is an health care organization with primary practice located at 2801 S John Redditt Dr , Lufkin TX 75904-5666. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Angelina Optometric Associates can be contacted via phone (936) 637-2020, or through Anderson, Robert W via phone (936) 637-2020.
Contact Information
Primary practice address
2801 S John Redditt Dr
Lufkin TX 75904-5666
Phone: (936) 637-2020
Fax: (936) 634-4911
Website:
Authorized official contact:
Name: Anderson, Robert W Doctor of Optometry (OD)
Phone: (936) 637-2020
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X |
Profile Details
| NPI number | 1366453920 |
|---|---|
| LBN Legal business name | Angelina Optometric Associates |
| DBA Doing business as | |
| Authorized official | Anderson, Robert W Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jun 21st, 2018 - about 7 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366453920 | NPPES |
| Texas | Other | 00B01S | MEDICARE |
| Texas | MEDICAID | 093682501 | MEDICARE |
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