Tyler Optical Lab Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TYLER OPTICAL LAB INC

Practice address

4568 S. Broadway Ave.
Tyler, TX 75703-1305

Phone

(903) 581-5451

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gail A Pelkey

Title

Owner

Phone

(903) 581-5451

Specialties & licenses 1

Addresses

Other names 1

• barrett opticians Doing business as

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1174558894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4568 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031305",
            "telephone_number": "903-581-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4568 S. BROADWAY AVE.",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031305",
            "telephone_number": "903-581-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TYLER OPTICAL LAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PELKEY",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-581-5451",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "barrett opticians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Tyler, TX
• Providers in Tyler, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.