SOUTHEAST TEXAS OPTICAL, LLC (NPI# 1679869077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679869077 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST TEXAS OPTICAL, LLC |
| Other Organization Name | EYE GEAR WAREHOUSE |
| Practice Address |
6420 Eastex Fwy Ste B Beaumont TX 77708-4338 |
| Practice Telephone | 4098992242 |
| Practice Fax Number | 4098995340 |
| Mailing Telephone | 4098992242 |
| Mailing Fax Number | 4098995340 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-09-28 |
| Authorized Official Name | DR. ALAN RAY RISING SR. (OWNER / PROVIDER) |
| Authorized Official Telephone | 4098992242 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WV0400X |
Optometrist Specialization: Vision Therapy |
3213TG | TX | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| EYE GEAR WAREHOUSE | Doing Business As Name - Organization |
| Street Address |
6420 EASTEX FWY STE B |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77708-4338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629445333 | Wael Hamdan | Dentist | 6970 Firethorn, Beaumont, TX 77708 | 2015-08-28 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1083804520 | Roland Melvin Williams | Dentist | 7640 Eastex Frwy, Beaumont, TX 77708 | 2007-07-31 |
| 1609980523 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5125 Mcanelly Dr, Beaumont, TX 77708 | 2006-08-18 |
| 1598879413 | Golden Triangle Living Centers Inc | Intermediate Care Facility, Mentally Retarded | 5965 Navajo Trail, Beaumont, TX 77708 | 2006-08-18 |
| 1962441980 | Mobility Scooters | Durable Medical Equipment & Medical Supplies | 10955 A Eastex Freeway, Beaumont, TX 77708 | 2006-06-05 |
| 1932347606 | National Seating & Mobility, Inc | Home Health | 10945 Eastex Fwy, Beaumont, TX 77708-0902 | 2009-02-03 |
| 1003824814 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 11125 Eastex Fwy, Beaumont, TX 77708-0906 | 2006-08-04 |
| 1548279888 | Pulse Homecare, Ltd. | Home Health | 10485 Eastex Fwy Ste C, Beaumont, TX 77708-1052 | 2006-08-05 |
| 1356966980 | Carol Devera Guillory | Occupational Therapist | 4535 Holst St, Beaumont, TX 77708-1531 | 2020-06-09 |
| Find all providers in zip 77708 | ||||
| Taxonomy Code | 152WV0400X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Vision Therapy |
| Optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114040342 | Alan Ray Rising Sr. | Optometrist | 6420b Eastex Fwy, Beaumont, TX 77708-4321 | 2007-04-10 |
| 1982806626 | Beaumont Family Eye Care Pa | Optometrist | 6725 Delaware St, Beaumont, TX 77706-7655 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992274278 | Dorian David Acosta | Optometrist | 4450 E Sam Houston Pkwy S Ste E, Pasadena, TX 77505-3950 | 2018-11-16 |
| 1316397474 | Texas Screening Associates | Optometrist | 3816 N Shepherd Dr, 10357, Houston, TX 77206-5001 | 2016-06-20 |
| 1013363993 | Edwin Jusino | Optometrist | 5346 Hwy. 83 Ste. 1, Rio Grande City, TX 78582 | 2016-05-10 |
| 1619395894 | Nielsen Vision Development Center, LLC | Optometrist | 17460 Interstate 35 N, Ste. 412, Schertz, TX 78154-1243 | 2014-04-03 |
| 1649594250 | Id Vision Center Pllc | Optometrist | 17454 Northwest Fwy, Houston, TX 77040-1002 | 2010-03-25 |
| 1295903219 | James D. Winter & Associates, P.C. | Optometrist | 18333 Egret Bay Blvd Ste 101, Houston, TX 77058-3200 | 2008-02-12 |
| 1003014556 | Briana Michelle Larson | Optometrist | 10601 Pecan Park Boulevard, Suite 201, Austin, TX 78750-1206 | 2007-07-06 |
| 1407976780 | Crystal Vision Center PC | Optometrist | 2551b Texas Ave South, College Station, TX 77840-4629 | 2007-03-30 |
| 1477655751 | James F Citek | Optometrist | 1818 N Velasco St, Angleton, TX 77515-3015 | 2006-09-05 |
| 1386626430 | Kristi Renee Washburn | Optometrist | 1520 S Broadway St, Sulphur Springs, TX 75482-4922 | 2005-11-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.