Provider Demographics
NPI:1629187232
Name:EYE CARE INSTITUTE, PA
Entity Type:Organization
Organization Name:EYE CARE INSTITUTE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:254-519-2020
Mailing Address - Street 1:800 W CENTRAL TEXAS EXPY
Mailing Address - Street 2:STE150
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-1899
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:800 W CENTRAL TEXAS EXPY
Practice Address - Street 2:STE 150
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-1899
Practice Address - Country:US
Practice Address - Phone:254-519-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2012-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH5308152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX149532701OtherOPTICAL
TX00K38EOtherBLUE CROSS /BLUE SHIELD
TX91882OtherSCOTT & WHITE
TX137827510Medicaid
TX149532701OtherOPTICAL
TX91882OtherSCOTT & WHITE