Provider Demographics
NPI:1912039249
Name:CRAIG EYE ASSOCIATES
Entity Type:Organization
Organization Name:CRAIG EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCAFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-984-3101
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75653-0680
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:206 E US HIGHWAY 80
Practice Address - Street 2:SUITE G
Practice Address - City:WHITE OAK
Practice Address - State:TX
Practice Address - Zip Code:75693-2136
Practice Address - Country:US
Practice Address - Phone:903-295-2015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2009-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX101120701Medicaid
TX101120701Medicaid