Angelo Eye Associates PA
NPI 1366591539ActiveOrganization· Optometrist· San Angelo, TX
Optometrist in San Angelo, Texas, registered in NPPES in January 2007. The authorized official on file is Laci Ray, Assistant. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1366591539 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 9, 2007 |
| Last updated in NPPES | Oct 11, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 05712TG | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
Other Optometrist providers in San Angelo
- 1346133980
- 1760625370
- 1700243458
- 1497024186
- 1144825662
- 1124872957
- 1548462013
- 1225192917
- 1437344157
- 1437359874
- 1952035180
- 1003917030