Organization Active NPI

Eye Centers of Southeast Texas LLP

  • Ophthalmology Physician
  • Beaumont, TX
National Provider Identifier
1124003454
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Oct 29, 2024

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
081029301MedicaidTX
CE0997OtherTXRAILROAD MEDICARE
1790302909MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050907000368 TX Part B Supplier - Clinic/Group Practice 0143252536 Receives reassigned benefits from 19 practitioners
Practice locations: Beaumont, TX; Port Neches, TX; Port Arthur, TX; Nederland, 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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2167759Eye Centers of Southeast Texas, LP3345 Plaza 10 Ste B, Beaumont, TX 77707Certificate of waiverJun 13, 2027

National Provider Directory

National Provider Directory

Locations

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

  • Direct secure messaging: mren@ecsetx.intellechartdirect.net
  • Direct secure messaging: rsingla@ecsetx.intellechartdirect.net
  • Direct secure messaging: jmiller@ecsetx.intellechartdirect.net
  • Direct secure messaging: hle@ecsetx.intellechartdirect.net
  • Direct secure messaging: cmeaux@ecsetx.intellechartdirect.net
  • Direct secure messaging: ktalbot@ecsetx.intellechartdirect.net
  • Direct secure messaging: jgandy@ecsetx.intellechartdirect.net
  • Direct secure messaging: mharmon@ecsetx.intellechartdirect.net
  • Direct secure messaging: skansara@ecsetx.intellechartdirect.net
  • Direct secure messaging: ehamill@ecsetx.intellechartdirect.net
  • Direct secure messaging: phoang@ecsetx.intellechartdirect.net
  • Direct secure messaging: mmapp@ecsetx.intellechartdirect.net
  • Direct secure messaging: jhensel@ecsetx.intellechartdirect.net
  • Direct secure messaging: 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.

View all 20

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.

Verify at the official NPI Registry.