Organization Active NPI

Dejean & Kuglen Eye Associates LLP

Doing business as Avery Optical

  • Durable Medical Equipment & Medical Supplies
  • Conroe, TX
National Provider Identifier
1427166776
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEJEAN & KUGLEN EYE ASSOCIATES LLP
Doing business as
Avery Optical
Practice address
400 S Loop 336 W
Conroe, TX 77304-3302
Phone
(936) 539-4500
NPI assigned
Aug 28, 2006
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
DEJEAN & KUGLEN EYE ASSOCIATES LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Shirin Villegas
Title
Clinic Administrator
Phone
(936) 539-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

400 S Loop 336 W
Conroe, TX 77304-3302

Mailing address

400 S Loop 336 W
Conroe, TX 77304-3302
Phone (936) 539-4500

Other identifiers 4

IdentifierTypeStateIssuer
1264720001OtherTXD'MERC
079598101MedicaidTX
1427166776OtherTXNPI
1264720001OtherTXMEDICARE NSC

Other names 1

  • Avery Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Dejean Kuglen Eye Assoc

Locations

400 S Loop 336 W
Conroe, TX 77304
Phone (406) 539-4500

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1427166776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJEAN & KUGLEN EYE ASSOCIATES LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEJEAN & KUGLEN EYE ASSOCIATES LLP",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "VILLEGAS",
        "authorized_official_first_name": "SHIRIN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "936-539-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "D'MERC",
            "identifier": "1264720001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079598101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427166776",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "1264720001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avery Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.