BIG COUNTRY OPTICAL PLLC NPI 1174842405

NPI Information

  • NPI: 1174842405
  • Provider Name: BIG COUNTRY OPTICAL, PLLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • CLIA Number: 45D1058673
  • Address: 4342 TREANOR DR
    ABILENE, TX
    ZIP 79602
  • Phone: (325) 690-5900

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NPI Details

BIG COUNTRY OPTICAL, PLLC is an eyewear supplier in Abilene, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. BIG COUNTRY OPTICAL, PLLC NPI is 1174842405. The provider is registered as an organization entity type.

The provider's business location address is:

4342 TREANOR DR
ABILENE, TX
ZIP 79602-012
Phone: (325) 690-5900
Fax: (325) 690-5902

The provider's authorized official is Brettly Joel Teague .
The authorized official title is Owner/md and has the following contact phone number (325) 690-5900.

The CLIA number assigned to this NPI record is 45D1058673 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2010 and was last updated on 6/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear SupplierTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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