Provider Demographics
NPI:1336296680
Name:BUDGET OPTICALS OF AMERICA, INC.
Entity Type:Organization
Organization Name:BUDGET OPTICALS OF AMERICA, INC.
Other - Org Name:BOA 9
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TED
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:KARIBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-680-2701
Mailing Address - Street 1:905 S AMY LN
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1999
Mailing Address - Country:US
Mailing Address - Phone:254-680-2701
Mailing Address - Fax:254-247-0634
Practice Address - Street 1:620 B. SOUTH FT. HOOD RD.
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76541-6808
Practice Address - Country:US
Practice Address - Phone:254-634-8338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX16578OtherHMO
TX516373OtherBLUE CROSS BLUE SHIELD
TX16578OtherHMO