Active NPI
East Texas Eye Associates
- Specialist
- Lufkin, TX
National Provider Identifier
1508806894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- EAST TEXAS EYE ASSOCIATES
- Practice address
- 1306 W Frank Ave
Lufkin, TX 75904-3313 - Phone
- (936) 634-8381
- Fax
- (936) 639-9848
- NPI assigned
- Jun 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jo Ann O'Neill, COT
- Title
- Administrator
- Phone
- (936) 634-8381
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1306 W Frank Ave
Lufkin, TX 75904-3313
Mailing address
1306 W Frank Ave
Lufkin, TX 75904-3313
Phone (936) 634-8381
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060828000205 | TX | Part B Supplier - Clinic/Group Practice | 1254335607 |
Receives reassigned benefits from 2 practitioners Practice locations: Lufkin, TX |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider DirectoryLocations
1306 W Frank Ave
Lufkin, TX 75904
Phone (409) 634-8381
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Lufkin, TX
- NPI 1063484137
-
- Certified Registered Nurse Anesthetist
- Lufkin, TX
- NPI 1376872317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508806894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043313",
"telephone_number": "936-634-8381",
"fax_number": "936-639-9848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043313",
"telephone_number": "936-634-8381",
"fax_number": "936-639-9848"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAST TEXAS EYE ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "O'NEILL",
"authorized_official_first_name": "JO",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "936-634-8381",
"authorized_official_credential": "COT"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.