NPIMap

Organization Active NPI

Southeast Texas Eye Specialists, PLLC

Doing business as Eye Centers Optical

  • Eyewear Supplier
  • Beaumont, TX
National Provider Identifier
1114902442
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
SOUTHEAST TEXAS EYE SPECIALISTS, PLLC
Doing business as
Eye Centers Optical
Eye Centers Optical I-10
Practice address
3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554
Phone
(409) 833-1314
Fax
(409) 833-9039
NPI assigned
Dec 9, 2005
Last updated
Jan 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sandra Joyce Melton, MANAGEMENT
Title
Chief Financial Officer
Phone
(409) 833-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X TX Primary

Addresses

Primary practice location

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554

Mailing address

3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554
Phone (409) 833-1314

Other names 2

  • Eye Centers Optical Doing business as
  • Eye Centers Optical I-10 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200513000814 TX DME Supplier - Physician - General PracticeDME Supplier - Optician 1759712433 Practice locations: Beaumont, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Southeast Texas Eye Specialists PLL3345 Plaza 10 Dr, Beaumont, TX 77707-2553(409) 833-1314 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

3350 Dowlen Rd
Ste A
Beaumont, TX 77706

3580 College St
Beaumont, TX 77701

130 N Austin St
Jasper, TX 75951
Phone (409) 384-5192

2300 Highway 365
Nederland, TX 77627
Phone (409) 401-5864

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1114902442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-833-1314",
            "fax_number": "409-833-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 PLAZA 10 DR",
            "address_2": "SUITE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072554",
            "telephone_number": "409-833-1314",
            "fax_number": "409-833-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS EYE SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-09",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "409-833-0009",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Centers Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eye Centers Optical I-10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.