Organization
EYE CENTERS OF SOUTHEAST TEXAS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA J MELTON (CHIEF FINANCIAL OFFICER)
(409) 833-0444
Entity
Organization
Contact information
Practice address
3345 PLAZA 10 DR, SUITE B, BEAUMONT, TX 77707-2554
(409) 833-0444
(409) 833-9039
Mailing address
PO BOX 7160, BEAUMONT, TX 77726-7160
(409) 833-0444
(409) 833-9039
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081029301
—
TX
05
—
1790302909
—
TX
01
—
CE0997
RAILROAD MEDICARE
TX
Enumeration date
12/09/2005
Last updated
10/29/2024
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