Optical

LBN: Christus Trinity Clinic
Optical is an health care organization with primary practice located at 3593 E Grande Blvd , Tyler TX 75707-1400. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Christus Trinity Clinic can be contacted via phone (903) 839-2585, or through Karl, Robert via phone (469) 282-2611.

Contact Information

Primary practice address
3593 E Grande Blvd Tyler TX 75707-1400
Phone: (903) 839-2585
Fax: (903) 595-3005
Website:
Map and Directions
Authorized official contact:
Name: Karl, Robert CPA, MPA
Phone: (469) 282-2611

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X

Profile Details

NPI number 1316671944
LBN Legal business name Christus Trinity Clinic
DBA Doing business as Optical
Authorized official Karl, Robert CPA, MPA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2022
Last updated Aug 2nd, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316671944 NPPES
Texas MEDICAID PENDING

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