Healthcare Provider Details

I. General information

NPI: 1912039249
Provider Name (Legal Business Name): CRAIG EYE ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2007
Last Update Date: 01/21/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 E US HIGHWAY 80 SUITE G
WHITE OAK TX
75693-2136
US

IV. Provider business mailing address

PO BOX 680
HENDERSON TX
75653-0680
US

V. Phone/Fax

Practice location:
  • Phone: 903-295-2015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHARON MCAFEE
Title or Position: OFFICE MANAGER
Credential:
Phone: 903-984-3101