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Angelo Eye Associates PA

Optometrist in San Angelo, TX · enumerated 2007 · authorized official Laci Ray, Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366591539

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Registry record

Entity type Organization (Type 2)
Legal business name Angelo Eye Associates PA
Other name <Unavail>
Practice address 1721 Knickerbocker Rd, San Angelo, TX, 76904
Fax (325) 944-4213
Enumeration date Jan 9, 2007
Last updated in NPPES Oct 11, 2016

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers · License 05712TG (TX) Primary

Authorized official

Name Laci Ray
Title Assistant

Other identifiers

Identifier Type State Issuer
1658809-01 Medicaid TX -
1114028883 Other TX INDIVIDUAL NPI
80301Q Other TX BCBS

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-10-11. Verify at npiregistry.cms.hhs.gov.
Where is Angelo Eye Associates PA located?
The practice location on file with NPPES is in San Angelo, TX.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-11.