Eye Surgery Center of East Texas LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

EYE SURGERY CENTER OF EAST TEXAS LLC

Practice address

2448 E 5TH St
Tyler, TX 75701

Phone

(903) 535-3000

NPI assigned

Jun 29, 2017

Last updated

Apr 12, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Curtis J Pennell, MDNPI 1831160548

Title

Medical Director

Phone

(903) 595-0500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Eye Surgery Center of East Texas PLLCCCN 45C0001632

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Clarkson Optometry Inc

  dba Clarkson Eyecare

  • Optometrist
  • Saint Louis, MO
  • NPI 1790026540

  Member Of

  NPD member

Locations

Practitioners 2

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.

• Curtis Jeffrey Pennell, M.D.

  • Ophthalmology Physician
  • Tyler, TX
  • NPI 1831160548
  NPD (past) Authorized official
• Schulundria Schantelle Williams

  • Certified Registered Nurse Anesthetist
  • Tyler, TX
  • NPI 1205821055
  NPD (past)

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1396266441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2448 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2448 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "75701",
            "telephone_number": "903-535-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGERY CENTER OF EAST TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "PENNELL",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "903-595-0500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia I Eweni
• Excel X-Ray LLC
• Exceptional Healthcare Tyler LLC
• Exceptional Physicians Group Tyler PLLC
• Express Health Systems
• Eyeglass World
• Eyemart Express LLC
• Eyemart Express, LTD.
• Eyemasters of Texas, LTD (EyeMasters)
• Chinedu James Ezeafulukwe, MD

• Ambulatory Surgical Clinic/Center in Tyler, TX
• Providers in Tyler, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.