The Optical Shop

LBN: East Texas Eye Care Associates Pllc
The Optical Shop is an health care organization with primary practice located at 305 W Rusk St , Jacksonville TX 75766-2337. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. East Texas Eye Care Associates Pllc can be contacted via phone (903) 586-9611, or through Cheatham, June via phone (903) 595-0500.

Contact Information

Primary practice address
305 W Rusk St Jacksonville TX 75766-2337
Phone: (903) 586-9611
Fax: (903) 586-1171
Website:
Map and Directions
Authorized official contact:
Name: Cheatham, June
Phone: (903) 595-0500

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1689690265
LBN Legal business name East Texas Eye Care Associates Pllc
DBA Doing business as The Optical Shop
Authorized official Cheatham, June
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated Jan 22nd, 2024 - about 10 months 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 1689690265 NPPES
Texas MEDICAID 085828403

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