Provider Demographics
NPI:1558898213
Name:SALADO EYE ASSOCIATES PA
Entity Type:Organization
Organization Name:SALADO EYE ASSOCIATES PA
Other - Org Name:VIEW SALADO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-256-8065
Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-0492
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:418 N MAIN ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SALADO
Practice Address - State:TX
Practice Address - Zip Code:76571-6135
Practice Address - Country:US
Practice Address - Phone:254-781-0041
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-12
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6898TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty