SOUTHEAST TEXAS OPTICAL LLC NPI 1679869077

NPI Information

  • NPI: 1679869077
  • Provider Name: SOUTHEAST TEXAS OPTICAL, LLC
  • Classification: Optometrist - 152WV0400X
  • Specialization: Vision Therapy
  • Entity Type: Organization
  • Doing Business As: EYE GEAR WAREHOUSE
  • Address: 6420 EASTEX FWY
    STE B
    BEAUMONT, TX
    ZIP 77708
  • Phone: (409) 899-2242

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NPI Details

SOUTHEAST TEXAS OPTICAL, LLC is a vision therapy optometrist in Beaumont, TX. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. SOUTHEAST TEXAS OPTICAL, LLC NPI is 1679869077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Eye Gear Warehouse.

The provider's business location address is:

6420 EASTEX FWY
STE B
BEAUMONT, TX
ZIP 77708-338
Phone: (409) 899-2242
Fax: (409) 899-5340

The provider's authorized official is Alan Ray Rising .
The authorized official title is Owner / Provider and has the following contact phone number (409) 899-2242.

The enumeration date for this NPI number is 6/23/2011 and was last updated on 9/28/2011.

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
1152WV0400XOptometristVision Therapy3213TGTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1TXB133665MEDICARE PINTEXAS

What is NPI?

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This page was last updated on: 3/30/2025

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