Organization Active NPI

South East Texas Laser Eye Institute

  • Clinic/Center
  • Port Arthur, TX
National Provider Identifier
1669402830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOUTH EAST TEXAS LASER EYE INSTITUTE
Practice address
3000 39TH St
Suite 105
Port Arthur, TX 77642-5517
Phone
(409) 985-2745
Fax
(409) 985-2661
NPI assigned
Jul 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Raj K. Singla, M.D.NPI 1932131554
Title
Owner
Phone
(409) 985-2745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

3000 39TH St
Suite 105
Port Arthur, TX 77642-5517

Mailing address

3000 39TH St
Suite 105
Port Arthur, TX 77642-5517
Phone (409) 985-2745

Other identifiers 1

IdentifierTypeStateIssuer
0006HQOtherTXBLUECROSSBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3000 39th St
Ste 105
Port Arthur, TX 77642
Phone (409) 985-2745

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669402830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 39TH ST",
            "address_2": "SUITE 105",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425517",
            "telephone_number": "409-985-2745",
            "fax_number": "409-985-2661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 39TH ST",
            "address_2": "SUITE 105",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776425517",
            "telephone_number": "409-985-2745",
            "fax_number": "409-985-2661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST TEXAS LASER EYE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SINGLA",
        "authorized_official_first_name": "RAJ",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-985-2745",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUE SHIELD",
            "identifier": "0006HQ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.