Organization
KILGORE-GILMER-EYE CARE CENTERS P.A.
Active
Parent organization
KILGORE-GILMER-EYE CARE CENTERS P.A.
Other names
Gilmer Eye Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
KILGORE-GILMER-EYE CARE CENTERS P.A.
Authorized official
COURTNEY LOPER (BILLING/CREDENTIALING SPECIALIST)
(903) 983-2020
Entity
Organization
Contact information
Practice address
101 SIMPSON ST, GILMER, TX 75644-2231
(903) 843-5400
(903) 843-5101
Mailing address
PO BOX 8000, KILGORE, TX 75663-8000
(903) 983-2020
(903) 984-1567
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193690-01
—
TX
Enumeration date
09/25/2017
Last updated
09/25/2017
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