Organization
DEJEAN & KUGLEN EYE ASSOCIATES LLP
Active
Parent organization
DEJEAN & KUGLEN EYE ASSOCIATES LLP
Other names
Avery Optical
Organization subpart
Yes
Provider details
NPI number
Legal business name
DEJEAN & KUGLEN EYE ASSOCIATES LLP
Authorized official
SHIRIN VILLEGAS (CLINIC ADMINISTRATOR)
(936) 539-4500
Entity
Organization
Contact information
Practice address
400 S LOOP 336 W, CONROE, TX 77304-3302
(936) 539-4500
Mailing address
400 S LOOP 336 W, CONROE, TX 77304-3302
(936) 539-4500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
079598101
—
TX
01
—
1264720001
D'MERC
TX
01
—
1427166776
NPI
TX
Enumeration date
08/28/2006
Last updated
07/31/2023
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