Organization Active NPI

Dejean & Kuglen Eye Associates, LLP

  • Durable Medical Equipment & Medical Supplies
  • Shenandoah, TX
National Provider Identifier
1841907615
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEJEAN & KUGLEN EYE ASSOCIATES, LLP
Practice address
129 Vision Park Blvd Ste 110
Shenandoah, TX 77384-3024
Phone
(936) 539-4500
Fax
(936) 539-4534
NPI assigned
Nov 1, 2022
Organization subpart
Yes
Parent organization
DEJEAN & KUGLEN EYE ASSOCIATES, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Tracy H McCarty
Title
Business Administrator
Phone
(936) 539-4500

Specialties & licenses 1

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

Addresses

Primary practice location

129 Vision Park Blvd Ste 110
Shenandoah, TX 77384-3024

Mailing address

400 S Loop 336 W
Conroe, TX 77304-3302
Phone (936) 539-4500

Other names 1

  • Avery Optical Doing business as

National Provider Directory

National Provider Directory
Part of
Dejean Kuglen Eye Assoc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1841907615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043302",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 VISION PARK BLVD STE 110",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773843024",
            "telephone_number": "936-539-4500",
            "fax_number": "936-539-4534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJEAN & KUGLEN EYE ASSOCIATES, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEJEAN & KUGLEN EYE ASSOCIATES, LLP",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MCCARTY",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "936-539-4500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avery Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shenandoah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.