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Contact Information

ANGELINA OPTOMETRIC ASSOCIATES
2801 S JOHN REDDITT DR
LUFKIN, TX75904-5666
 Phone: 936-637-2020
 Fax: 936-634-4911
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ANGELINA OPTOMETRIC ASSOCIATES

NPI # 1366453920
LBN Legal business name ANGELINA OPTOMETRIC ASSOCIATES
Authorized official ROBERT ANDERSON - (PARTNER/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/10/2006
Last updated 06/21/2018 - About 8 years ago
Identifiers
TX Medicaid 093682501
TX Other 00B01S MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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