NPIMap

Organization Active NPI

East Texas Eye Care Associates PLLC

Doing business as The Optical Shop

  • Optician
  • Bullard, TX
National Provider Identifier
1548567969
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
EAST TEXAS EYE CARE ASSOCIATES PLLC
Doing business as
The Optical Shop
Practice address
151 Hwy 69 N
Suite 1000
Bullard, TX 75757-5183
Phone
(903) 894-8217
Fax
(903) 894-8294
NPI assigned
Feb 21, 2011
Last updated
Jan 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Authorized official

Name
June Cheatham
Title
Administrator
Phone
(903) 595-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X NU Primary

Addresses

Primary practice location

151 Hwy 69 N
Suite 1000
Bullard, TX 75757-5183

Mailing address

2440 E 5TH St
Tyler, TX 75701-3525
Phone (903) 595-0500

Other names 1

  • The Optical Shop Doing business as

National Provider Directory

National Provider Directory

Locations

151 Doctor M Roper Pkwy N
Ste 1000
Bullard, TX 75757
Phone (903) 894-8217

5266 Independence Pkwy
Ste 150
Frisco, TX 75035
Phone (469) 287-9519

1440 S Main St
Lindale, TX 75771
Phone (903) 882-8990

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1298246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1548567969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 E 5TH ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757013525",
            "telephone_number": "903-595-0500",
            "fax_number": "903-595-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 HWY 69 N",
            "address_2": "SUITE 1000",
            "city": "BULLARD",
            "state": "TX",
            "postal_code": "757575183",
            "telephone_number": "903-894-8217",
            "fax_number": "903-894-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS EYE CARE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-21",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "CHEATHAM",
        "authorized_official_first_name": "JUNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-595-0500"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bullard, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.