MEDICARE: CRAIG EYE ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912039249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CRAIG EYE ASSOCIATES

Provider Business Mailing Address
First Line	:	PO BOX 680
Second Line	:
City	:	HENDERSON
State	:	TX
Zip	:	75653-0680
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 E US HIGHWAY 80
Second Line	:	SUITE G
City	:	WHITE OAK
State	:	TX
Zip	:	75693-2136
Country	:	US
Telephone Number	:	903-295-2015
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SHARON MCAFEE
Credential	:
Telephone Number	:	903-984-3101

Provider Enumeration Date	:	03/12/2007
Last Update Date	:	01/21/2009

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