Provider Demographics
NPI:1124285374
Name:AMEGIN'S EYE CENTER INC
Entity type:Organization
Organization Name:AMEGIN'S EYE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:AMEGIN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:956-318-1400
Mailing Address - Street 1:2005 W UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-2831
Mailing Address - Country:US
Mailing Address - Phone:956-318-1400
Mailing Address - Fax:956-318-0022
Practice Address - Street 1:2005 W UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-2831
Practice Address - Country:US
Practice Address - Phone:956-318-1400
Practice Address - Fax:956-318-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH8566152W00000X, 332H00000X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX133112601Medicaid
TX133112601Medicaid
TX0994380001Medicare NSC