Southeast Texas Optical, LLC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

3213TG Issued in TX

Legal business name

SOUTHEAST TEXAS OPTICAL, LLC

Doing business as

EYE GEAR WAREHOUSE

Practice address

6420 Eastex Fwy
Ste B
Beaumont, TX 77708-4338

Phone

(409) 899-2242

Fax

(409) 899-5340

NPI assigned

Jun 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Alan Ray Rising Sr., OD

Title

Owner / Provider

Phone

(409) 899-2242

Specialties & licenses 1

Addresses

Other names 1

• EYE GEAR WAREHOUSE Doing business as

Locations

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

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1679869077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 EASTEX FWY",
            "address_2": "STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084338",
            "telephone_number": "409-899-2242",
            "fax_number": "409-899-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 EASTEX FWY",
            "address_2": "STE B",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777084338",
            "telephone_number": "409-899-2242",
            "fax_number": "409-899-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST TEXAS OPTICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "RISING",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "409-899-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "3213TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE GEAR WAREHOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Therapy Optometrist in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Vision Therapy Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.