Active NPI
Eye Centers of Southeast Texas LLP
- Ophthalmology Physician
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CENTERS OF SOUTHEAST TEXAS LLP
- Practice address
- 3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554 - Phone
- (409) 833-0444
- Fax
- (409) 833-9039
- NPI assigned
- Dec 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra J Melton
- Title
- Chief Financial Officer
- Phone
- (409) 833-0444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | TX | Primary |
Addresses
Primary practice location
3345 Plaza 10 Dr
Suite B
Beaumont, TX 77707-2554
Mailing address
PO Box 7160
Beaumont, TX 77726-7160
Phone (409) 833-0444
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 081029301 | Medicaid | TX | |
| CE0997 | Other | TX | RAILROAD MEDICARE |
| 1790302909 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2167759 | Eye Centers of Southeast Texas, LP | Certificate of waiver | Jun 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
3570 College St
Ste 100
Beaumont, TX 77701
Phone (409) 833-0444
3350 Dowlen Rd
Beaumont, TX 77706
3395 Plaza 10 Dr
Ste C
Beaumont, TX 77707
Phone (409) 835-0505
3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009
612 S Twin City Hwy
Nederland, TX 77627
Phone (409) 724-0794
2300 Highway 365
Ste 670
Nederland, TX 77627
Phone (409) 722-6000
1810 Magnolia Ave
Port Neches, TX 77651
Phone (409) 721-6971
Interoperability endpoints
- mren@ecsetx.intellechartdirect.net
- rsingla@ecsetx.intellechartdirect.net
- jmiller@ecsetx.intellechartdirect.net
- hle@ecsetx.intellechartdirect.net
- cmeaux@ecsetx.intellechartdirect.net
- ktalbot@ecsetx.intellechartdirect.net
- jgandy@ecsetx.intellechartdirect.net
- mharmon@ecsetx.intellechartdirect.net
- skansara@ecsetx.intellechartdirect.net
- ehamill@ecsetx.intellechartdirect.net
- phoang@ecsetx.intellechartdirect.net
- mmapp@ecsetx.intellechartdirect.net
- jhensel@ecsetx.intellechartdirect.net
- jjackson@ecsetx.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Port Arthur, TX
- NPI 1487667945
-
- Optometrist
- Port Arthur, TX
- NPI 1205536869
-
- Optometrist
- Beaumont, TX
- NPI 1790126373
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Houston, TX
- NPI 1871905463
Single Specialty
-
- Ophthalmology Physician
- Beaumont, TX
- NPI 1932102290
-
- Ophthalmology Physician
- Beaumont, TX
- NPI 1487657821
-
- Optometrist
- Beaumont, TX
- NPI 1184889297
-
- Ophthalmology Physician
- Beaumont, TX
- NPI 1326468315
-
- Optometrist
- Beaumont, TX
- NPI 1790302909
-
- Ophthalmology Physician
- Houston, TX
- NPI 1235230228
-
- Ophthalmology Physician
- Beaumont, TX
- NPI 1467719237
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": "1730160000000",
"number": "1124003454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7160",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777267160",
"telephone_number": "409-833-0444",
"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": "409-833-0444",
"fax_number": "409-833-9039"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CENTERS OF SOUTHEAST TEXAS LLP",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-09",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "MELTON",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "409-833-0444",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081029301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE0997",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790302909",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 29, 2024; 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.