Organization
EAST TEXAS EYE CARE ASSOCIATES, PLLC
Active
Other names
The Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUNE CHEATHAM (ADMINISTRATOR)
(903) 595-0500
Entity
Organization
Contact information
Practice address
608 MARYLAND DR, ATHENS, TX 75751-3332
(903) 675-6440
(903) 675-6676
Mailing address
2440 E 5TH ST, TYLER, TX 75701-3525
(903) 595-0500
(903) 595-1212
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085828404
—
TX
Enumeration date
07/15/2006
Last updated
02/16/2015
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