Healthcare Provider Details
I. General information
NPI: 1548188410
Provider Name (Legal Business Name): JASPER FAMILY EYECARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
702 S WHEELER ST
JASPER TX
75951-4544
US
IV. Provider business mailing address
152 LONG LEAF
HUNTINGTON TX
75949-3679
US
V. Phone/Fax
- Phone: 936-240-9663
- Fax:
- Phone: 936-240-9663
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CALEB
HARRIS
ROBINSON
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 936-240-9663