Provider Demographics
NPI:1457510661
Name:TEI AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:TEI AND ASSOCIATES LLC
Other - Org Name:TEXAS EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SR. PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-777-7145
Mailing Address - Street 1:146 E HOSPITAL DR STE 210
Mailing Address - Street 2:
Mailing Address - City:ANGLETON
Mailing Address - State:TX
Mailing Address - Zip Code:77515-4171
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:146 E HOSPITAL DR STE 210
Practice Address - Street 2:
Practice Address - City:ANGLETON
Practice Address - State:TX
Practice Address - Zip Code:77515-4171
Practice Address - Country:US
Practice Address - Phone:713-777-7145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-03
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXCU0405OtherGROUP RAILROAD MEDICARE
TX119863202Medicaid
TX00R14ZMedicare PIN