Complete Family Eyecare
Optometrist in Tyler, TX. Organization (NPI-2).
NPI number1083706352
StatusActive
Last updated in NPPESJun 23, 2008
Details
- NPI
- 1083706352
- Entity type
- Organization (NPI-2)
- Legal business name
- Complete Family Eyecare
- Organization subpart
- No
- Enumeration date
- Sep 28, 2006
- Last updated
- Jun 23, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 3363TG | TX | Yes |
| 152W00000X | Optometrist | LA962 | LA |
Other names
- East Texas Vision Center (Doing Business As)
Practice location
510 Ssw Loop 323Tyler, TX 75702
Phone 903-593-2109 · Fax 903-593-4799
Mailing address
510 Ssw Loop 323Tyler, TX 75702
Phone 903-593-2109 · Fax 903-593-4799
Authorized official
John Robert McGough
Optometrist
9035932109
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All 56 Optometrist providers in Tyler · All 6,843 providers in Tyler
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