Organization Active NPI

East Texas Eye Associates

Doing business as East Texas Eye Associates Optical Shop

  • Durable Medical Equipment & Medical Supplies
  • Lufkin, TX
National Provider Identifier
1841416252
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
EAST TEXAS EYE ASSOCIATES
Doing business as
East Texas Eye Associates Optical Shop
Practice address
1306 W Frank Ave
Lufkin, TX 75904-3313
Phone
(936) 634-8381
Fax
(936) 639-9848
NPI assigned
Apr 17, 2007
Organization subpart
Yes
Parent organization
EAST TEXAS EYE ASSOCIATESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Thomas Everett Duncan, M.D.
Title
Owner
Phone
(936) 634-8381

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 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

Other identifiers 1

IdentifierTypeStateIssuer
127345006MedicaidTX

Other names 1

  • East Texas Eye Associates Optical Shop Doing business as

National Provider Directory

National Provider Directory
Part of
East Texas Eye Associat

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1841416252",
    "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": "YES",
        "parent_organization_legal_business_name": "EAST TEXAS EYE ASSOCIATES",
        "enumeration_date": "2007-04-17",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "936-634-8381",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127345006",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Texas Eye Associates Optical Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 18, 2018; 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.