Active NPI
Dejean & Kuglen Eye Associates LLP
Doing business as Avery Optical
- Durable Medical Equipment & Medical Supplies
- Conroe, TX
National Provider Identifier
1427166776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- DEJEAN & KUGLEN EYE ASSOCIATES LLP
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1264720001 | Other | TX | D'MERC |
| 079598101 | Medicaid | TX | |
| 1427166776 | Other | TX | NPI |
| 1264720001 | Other | TX | MEDICARE NSC |
Other names 1
- Avery Optical
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.
-
dba Avery Eye Clinic
- Ophthalmology Physician
- Conroe, TX
- NPI 1952322067
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.