Organization
COMPLETE FAMILY EYECARE
Active
Other names
East Texas Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROBERT MCGOUGH OD (OPTOMETRIST)
(903) 593-2109
Entity
Organization
Contact information
Practice address
510 SSW LOOP 323, TYLER, TX 75702
(903) 593-2109
(903) 593-4799
Mailing address
510 SSW LOOP 323, TYLER, TX 75702
(903) 593-2109
(903) 593-4799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3363TG
TX
152W00000X
Optometrist
LA962
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019857401
—
TX
Enumeration date
09/28/2006
Last updated
06/23/2008
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