Texas State Optical Dowlen Road – Optometrist, NPI 1194897827

Texas State Optical Dowlen Road is a healthcare provider. based in Beaumont, Texas. specializing in Optometrist. The NPI Number for Texas State Optical Dowlen Road is 1194897827

Main info

Organization
Name
Texas State Optical Dowlen Road
NPI
1194897827
Phone
(409) 899-9999
Address
4105 DOWLEN RD STE B
Authorized Official
DR. LEIGH B KIMBALL V. PRESIDENT OD
Enumeration Date
15 November 2006
Last Update Date
17 September 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Texas State Optical Dowlen Road

  • Dowlen Road, Beaumont, Jefferson County, Texas, 77707, United States

    BEAUMONT, TX 777066871

    Phone: (409) 899-9999

    Fax: (409) 892-6587

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-11-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-07-31 (677 days ago).

Enrollment records

1

Earliest due date

2024-07-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20091119000058OClinic/Group PracticeTX2024-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77706)

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Reviews

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Frequently asked questions

How do I look up Texas State Optical Dowlen Road by NPI?
Use NPI 1194897827 when you need to reference Texas State Optical Dowlen Road in forms, claims, or directories.
Is Texas State Optical Dowlen Road's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does Texas State Optical Dowlen Road work in?
You can think of Texas State Optical Dowlen Road as practicing within Optometrist. Clinical services aligned with this taxonomy classification.
Does Texas State Optical Dowlen Road practice in Texas?
You will see Beaumont, Texas on file for Texas State Optical Dowlen Road alongside any extra practice locations.
Is Texas State Optical Dowlen Road a real provider?
This page reflects official NPPES data for NPI 1194897827. Always confirm identity and privileges with the practice and licensing boards.

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