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
305 W RUSK ST, JACKSONVILLE, TX 75766-2337
(903) 586-9611
(903) 586-1171
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
—
085828403
—
TX
Enumeration date
07/15/2006
Last updated
01/22/2024
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