Abby Brotherton Wicks, OD | |
201 E Central Texas Expy, Harker Heights, TX 76548-1887 | |
(254) 953-7650 | |
Not Available |
Full Name | Abby Brotherton Wicks |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 12 Years |
Location | 201 E Central Texas Expy, Harker Heights, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780026708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV008047 (New York) | Secondary |
152W00000X | Optometrist | 9679T (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baylor Scott & White Pavilion - Temple | Temple, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Scott And White Clinic | 8123923604 | 2143 |
Provider Name | Scott & White Clinic |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093779704 PECOS PAC ID: 8123923604 Enrollment ID: O20031223000640 |
Mailing Address | Practice Location Address |
---|---|
Abby Brotherton Wicks, OD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Abby Brotherton Wicks, OD 201 E Central Texas Expy, Harker Heights, TX 76548-1887 Ph: (254) 953-7650 |
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