Provider Demographics
NPI:1457594129
Name:KILLEEN EYE ASSOCIATES, P.A.
Entity Type:Organization
Organization Name:KILLEEN EYE ASSOCIATES, P.A.
Other - Org Name:FIRST EYE CARE KILLEEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LUCAS
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:254-690-4733
Mailing Address - Street 1:3124 E CENTRAL TEXAS EXPY
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76543-7333
Mailing Address - Country:US
Mailing Address - Phone:254-690-4733
Mailing Address - Fax:254-690-6728
Practice Address - Street 1:3124 E CENTRAL TEXAS EXPY
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76543-7333
Practice Address - Country:US
Practice Address - Phone:254-690-4733
Practice Address - Fax:254-690-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-10
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6898TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty