PINEYWOODS EYE ASSOCIATES P A (NPI# 1710102280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710102280 |
| Entity Type | Organization |
| Organization Name | PINEYWOODS EYE ASSOCIATES P A |
| Practice Address |
4729 Ne Stallings Dr Nacogdoches TX 75965-1607 |
| Mailing Address |
Po Box 1838 Center TX 75935-1838 |
| Practice Telephone | 9365642634 |
| Practice Fax Number | 9365640387 |
| Mailing Telephone | 9365642634 |
| Mailing Fax Number | 9365640387 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DAVID D GOLDEN (OWNER) |
| Authorized Official Telephone | 9365642634 |
| Authorized Official Credential | O. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386764215 | Pineywoods Eye Associates P A | Optometrist | 4729 Ne Stallings Dr, Nacogdoches, TX 75965-1607 | 2007-04-02 |
| Street Address |
4729 NE STALLINGS DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75965-1607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669589081 | Melanie Montes Vardeman | Optometrist | 4729 Ne Stallings Dr, Nacogdoches, TX 75965-1607 | 2006-08-23 |
| 1386764215 | Pineywoods Eye Associates P A | Optometrist | 4729 Ne Stallings Dr, Nacogdoches, TX 75965-1607 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649839135 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3824 N University Drive, Suite 103, Nacogdoches, TX 75965 | 2019-06-10 |
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1295217610 | Sarah Ponder | Registered Nurse | 625 Woodway Lane, Nacogdoches, TX 75965 | 2018-09-01 |
| 1083107684 | Aakash Deep Gupta | Dentist | 4610 North St Ste 101b, Nacogdoches, TX 75965 | 2018-06-08 |
| 1679097455 | Emily Morris Taravella | Counselor | 3524 Ne Stallings Drive, Nacogdoches, TX 75965 | 2017-08-02 |
| 1457809949 | Kassey Osborn | Nurse Practitioner | 4920 Ne Stallings Dr., Nacogdoches Medical Center, Nacogdoches, TX 75965 | 2016-09-14 |
| 1629426747 | Lisa Greathouse | Technician, Other | 500 Chincapin, Westville, OK 75965 | 2016-05-31 |
| 1457741704 | Nuch of Texas | Pediatrics | 1305 North Street, Nacogdoches, TX 75965 | 2015-01-26 |
| 1730506031 | Benjamin Patrick Thompson | Obstetrics & Gynecology | 4800 Ne Stallings Dr Ste 106, Nacogdoches, TX 75965 | 2014-03-25 |
| 1255761813 | Kallie Krawietz | Counselor | 2214 N Pecan Street, Nacogdoches, TX 75965 | 2013-11-19 |
| Find all providers in zip 75965 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487761060 | Lyle Thorstenson Md | Eyewear Supplier (Equipment, not the service) | 3302 Ne Stallings Dr, Nacogdoches, TX 75965-8727 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961096 | Eyetopia Optics, LLC | Eyewear Supplier (Equipment, not the service) | 1387 Sattler Rd, New Braunfels, TX 78132-2305 | 2020-08-07 |
| 1407481971 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 5621 N Ih 35, Austin, TX 78723-2431 | 2020-03-05 |
| 1427682657 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 800 Town and Country Blvd Ste 110, Houston, TX 77024-4553 | 2020-02-26 |
| 1275163768 | Charles Kang | Eyewear Supplier (Equipment, not the service) | 2401 S Stemmons Fwy Ste 1130, Lewisville, TX 75067-2306 | 2020-01-23 |
| 1912547175 | Emx Eye Care Management | Eyewear Supplier (Equipment, not the service) | 138 Senlac Drive, Suite 200, Farmers Branch, TX 75234 | 2020-01-15 |
| 1831752260 | The Eyeglass Repair Guys LLC | Eyewear Supplier (Equipment, not the service) | 2825 N Main St Ste 300, Stafford, TX 77477-5565 | 2019-04-22 |
| 1255893947 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 14791 Ih 35 N Ste 108, Selma, TX 78154-3464 | 2019-04-02 |
| 1619431681 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4078 Westheimer Rd, Houston, TX 77027-5008 | 2019-01-24 |
| 1790253243 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 8815 Memorial Blvd Suite A, Port Arthur, TX 77640-1862 | 2018-11-02 |
| 1952884322 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2518 University Blvd, Houston, TX 77005 | 2018-09-12 |
| Find all providers with the same taxonomy | ||||
| City | NACOGDOCHES |
| Zip Code | 75965 |
Please comment or provide details below to improve the information on PINEYWOODS EYE ASSOCIATES P A.
| 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.