| Aeg Texas Professional Pllc | |
|
205b W Water St, Kerrville, TX 78028-4252 | |
| (830) 896-2600 | |
| Not Available |
| Full Name | Aeg Texas Professional Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 205b W Water St, Kerrville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457905937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Brandon J Blaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093894230 PECOS PAC ID: 8527969732 Enrollment ID: I20040120000193 |
| Provider Name | Sandra B Elston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639263668 PECOS PAC ID: 7911890355 Enrollment ID: I20040207000330 |
| Provider Name | Jeffrey M Penn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952407348 PECOS PAC ID: 3274427885 Enrollment ID: I20040212000638 |
| Provider Name | Brad Dobson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144332644 PECOS PAC ID: 8325936784 Enrollment ID: I20040308000570 |
| Provider Name | John P Tavares |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821063181 PECOS PAC ID: 6103818083 Enrollment ID: I20040331001256 |
| Provider Name | Monica L Allison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396884201 PECOS PAC ID: 5092708230 Enrollment ID: I20040405001270 |
| Provider Name | Shelly L Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235240425 PECOS PAC ID: 4587658943 Enrollment ID: I20040409000386 |
| Provider Name | Rita V Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043308182 PECOS PAC ID: 0446246102 Enrollment ID: I20040420001784 |
| Provider Name | Monica L Gonzales-deliganis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972575355 PECOS PAC ID: 2961483953 Enrollment ID: I20040526000533 |
| Provider Name | Dana Craig Ziskrout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720086663 PECOS PAC ID: 4789666561 Enrollment ID: I20040604000450 |
| Provider Name | Mario J Contaldi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215043765 PECOS PAC ID: 6103809272 Enrollment ID: I20040610000062 |
| Provider Name | Lien T Griffin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073554606 PECOS PAC ID: 9335122217 Enrollment ID: I20040610001741 |
| Provider Name | Stephen P Planchet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205863925 PECOS PAC ID: 4981688363 Enrollment ID: I20040614001637 |
| Provider Name | Corwin A Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801894308 PECOS PAC ID: 8426032632 Enrollment ID: I20040615001734 |
| Provider Name | Dipak T Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841298973 PECOS PAC ID: 7719964766 Enrollment ID: I20040707000755 |
| Provider Name | Kenneth Falknor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073516910 PECOS PAC ID: 7012996861 Enrollment ID: I20040716000464 |
| Provider Name | Larry William Falknor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891798534 PECOS PAC ID: 9830178680 Enrollment ID: I20040716000502 |
| Provider Name | Kathleen E Goff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144223058 PECOS PAC ID: 8921087776 Enrollment ID: I20040716000560 |
| Provider Name | Omar D Garza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548236615 PECOS PAC ID: 2062483100 Enrollment ID: I20040803001059 |
| Provider Name | George N Zaibaq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184633752 PECOS PAC ID: 5294707790 Enrollment ID: I20040809000919 |
| Provider Name | Jocelyn S.t. Horiszny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548256951 PECOS PAC ID: 7012989833 Enrollment ID: I20040811000635 |
| Provider Name | Joseph C Arrieta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700871373 PECOS PAC ID: 8426021965 Enrollment ID: I20040816000573 |
| Provider Name | Simon S Yeung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477573954 PECOS PAC ID: 6305811969 Enrollment ID: I20040830000153 |
| Provider Name | William Steve Kroeger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023026408 PECOS PAC ID: 4587631031 Enrollment ID: I20041008000071 |
| Provider Name | Shelly Blaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487726568 PECOS PAC ID: 7517928013 Enrollment ID: I20041019000640 |
| Provider Name | Chris L Warford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871653451 PECOS PAC ID: 9830150291 Enrollment ID: I20041022000243 |
| Provider Name | Karen A Henson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891975314 PECOS PAC ID: 2961465802 Enrollment ID: I20041111000425 |
| Provider Name | Loraine R Payan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083792212 PECOS PAC ID: 9830153386 Enrollment ID: I20041116001152 |
| Provider Name | Tara L Hardin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437167459 PECOS PAC ID: 1658339130 Enrollment ID: I20041230000169 |
| Provider Name | Ikaehota Nyowheoma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417975368 PECOS PAC ID: 9931159746 Enrollment ID: I20050129000112 |
| Provider Name | George E Orm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316982622 PECOS PAC ID: 1153378757 Enrollment ID: I20050406000242 |
| Provider Name | Justin M Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194718114 PECOS PAC ID: 9234169731 Enrollment ID: I20050815000744 |
| Provider Name | Albert W Pang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306823158 PECOS PAC ID: 9032141395 Enrollment ID: I20050907000934 |
| Provider Name | Pamela A Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316951056 PECOS PAC ID: 1153349477 Enrollment ID: I20051104000721 |
| Provider Name | Paige A Pollard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124092168 PECOS PAC ID: 5991729519 Enrollment ID: I20060123000683 |
| Provider Name | Reyna A Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063407005 PECOS PAC ID: 9931113396 Enrollment ID: I20060206000705 |
| Provider Name | Manish K Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346318383 PECOS PAC ID: 9133134307 Enrollment ID: I20060208000695 |
| Provider Name | Meridith Musgrove |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194745372 PECOS PAC ID: 2163437815 Enrollment ID: I20060216000190 |
| Provider Name | Sundip R Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255393757 PECOS PAC ID: 8224043864 Enrollment ID: I20060217000450 |
| Provider Name | Farshid Amir |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639189681 PECOS PAC ID: 6406864560 Enrollment ID: I20060330000675 |
| Provider Name | Hans J Oosterbaan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245239953 PECOS PAC ID: 4880605955 Enrollment ID: I20060606000214 |
| Provider Name | Kimberly H Tham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003891425 PECOS PAC ID: 8325050891 Enrollment ID: I20060627000203 |
| Provider Name | Allen J Chin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639129984 PECOS PAC ID: 0749283711 Enrollment ID: I20060811000110 |
| Provider Name | Allen H Chin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417907775 PECOS PAC ID: 7012910086 Enrollment ID: I20060811000124 |
| Provider Name | Javier R Zamora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003892068 PECOS PAC ID: 6608871181 Enrollment ID: I20060918000100 |
| Provider Name | Pamela S Solly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346252319 PECOS PAC ID: 8820099492 Enrollment ID: I20070124000668 |
| Provider Name | Tracy D Stringfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154461994 PECOS PAC ID: 8426050758 Enrollment ID: I20070215000234 |
| Provider Name | Deborah J Zanella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497813646 PECOS PAC ID: 6608978606 Enrollment ID: I20070222000076 |
| Provider Name | Peter J Zanella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962464446 PECOS PAC ID: 8527160522 Enrollment ID: I20070222000096 |
| Provider Name | Kim N To |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508874009 PECOS PAC ID: 7113029992 Enrollment ID: I20070226000179 |
| Provider Name | David Sims |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306929138 PECOS PAC ID: 0648372235 Enrollment ID: I20070228000553 |
| Provider Name | Elaine H Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346312618 PECOS PAC ID: 6305948795 Enrollment ID: I20070305000288 |
| Provider Name | Robert W Flanders |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407845597 PECOS PAC ID: 9830291947 Enrollment ID: I20070507000179 |
| Provider Name | Amelia J. Holbrook |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669448411 PECOS PAC ID: 7517959489 Enrollment ID: I20070514000074 |
| Provider Name | Emily I Porier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992771737 PECOS PAC ID: 6608973227 Enrollment ID: I20070516000277 |
| Provider Name | Joycelyn G Garza |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144416421 PECOS PAC ID: 4183719552 Enrollment ID: I20070929000030 |
| Provider Name | Rickey Harton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609861129 PECOS PAC ID: 6507881117 Enrollment ID: I20071011000147 |
| Provider Name | Linda T Enciso |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861517484 PECOS PAC ID: 6800970526 Enrollment ID: I20080219000797 |
| Provider Name | Parisa Lamei |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194872630 PECOS PAC ID: 6507943065 Enrollment ID: I20080408000398 |
| Provider Name | Michael J Bollish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598836660 PECOS PAC ID: 1658459763 Enrollment ID: I20080418000093 |
| Provider Name | Lorraine C Suder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043324973 PECOS PAC ID: 6901984863 Enrollment ID: I20080418000105 |
| Provider Name | Dianne B Dao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023026101 PECOS PAC ID: 5890866545 Enrollment ID: I20080624000314 |
| Provider Name | Edward C Elder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821039843 PECOS PAC ID: 3971676289 Enrollment ID: I20080721000193 |
| Provider Name | Richard A Bell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336180405 PECOS PAC ID: 5698848992 Enrollment ID: I20080721000208 |
| Provider Name | Marlan G Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871533745 PECOS PAC ID: 5597838813 Enrollment ID: I20080721000219 |
| Provider Name | Ivan B Bank |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194706861 PECOS PAC ID: 3779487301 Enrollment ID: I20080804000011 |
| Provider Name | Collin Tam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942494299 PECOS PAC ID: 8224104179 Enrollment ID: I20080829000305 |
| Provider Name | Aurea I Rivera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194997866 PECOS PAC ID: 3577631126 Enrollment ID: I20081009000036 |
| Provider Name | Huong-trinh Arrieta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881684306 PECOS PAC ID: 1355401936 Enrollment ID: I20081201000261 |
| Provider Name | Anh D Doan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205915535 PECOS PAC ID: 9335032747 Enrollment ID: I20081201000286 |
| Provider Name | Alycia N Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003914524 PECOS PAC ID: 7315008737 Enrollment ID: I20081204000099 |
| Provider Name | Louis A Ramon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902019839 PECOS PAC ID: 1052474293 Enrollment ID: I20090114000067 |
| Provider Name | Zehra Chawla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609011758 PECOS PAC ID: 2365506557 Enrollment ID: I20090203000502 |
| Provider Name | Barbara A Coldiron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033205414 PECOS PAC ID: 3072678523 Enrollment ID: I20090217000105 |
| Provider Name | Garth B Weaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306880059 PECOS PAC ID: 1850456302 Enrollment ID: I20090217000136 |
| Provider Name | Bridgette Donyelle Fuller |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528025582 PECOS PAC ID: 2163495276 Enrollment ID: I20090302000390 |
| Provider Name | Joyce L Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962453423 PECOS PAC ID: 4880750975 Enrollment ID: I20090311000221 |
| Provider Name | Felicia S Freeman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093870669 PECOS PAC ID: 0648337360 Enrollment ID: I20090325000395 |
| Provider Name | Debbie A Zamora |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750306684 PECOS PAC ID: 3577620624 Enrollment ID: I20090626000384 |
| Provider Name | Laura Pels |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366533853 PECOS PAC ID: 7113079203 Enrollment ID: I20090721000527 |
| Provider Name | Emmett R Hutto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548499213 PECOS PAC ID: 5395898464 Enrollment ID: I20090806000715 |
| Provider Name | William K Pope |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588744973 PECOS PAC ID: 9739233479 Enrollment ID: I20090814000630 |
| Provider Name | Tarun S Gandhi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164654950 PECOS PAC ID: 5395891808 Enrollment ID: I20090925000102 |
| Provider Name | Joseph A Janes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528175551 PECOS PAC ID: 0345281010 Enrollment ID: I20091002000308 |
| Provider Name | Jennifer N Bird |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003048851 PECOS PAC ID: 0345387874 Enrollment ID: I20091102000269 |
| Provider Name | Krishan M Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982835278 PECOS PAC ID: 6800935131 Enrollment ID: I20091130000399 |
| Provider Name | Mary Beck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770622045 PECOS PAC ID: 8527109230 Enrollment ID: I20100104000153 |
| Provider Name | Rhonda L Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851364400 PECOS PAC ID: 7517008105 Enrollment ID: I20100105000082 |
| Provider Name | Maxwell A Olumba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194709741 PECOS PAC ID: 5698816205 Enrollment ID: I20100105000265 |
| Provider Name | Joe R Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285632786 PECOS PAC ID: 4880678002 Enrollment ID: I20100128000317 |
| Provider Name | Reza D Farahani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063419042 PECOS PAC ID: 5294861654 Enrollment ID: I20100325000238 |
| Provider Name | Kenneth Matthew Kirkland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053300624 PECOS PAC ID: 0840329793 Enrollment ID: I20100616000420 |
| Provider Name | Don A Wilhelmus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497716161 PECOS PAC ID: 7113059411 Enrollment ID: I20100722000454 |
| Provider Name | Traci A Kuykendall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811995418 PECOS PAC ID: 9739212861 Enrollment ID: I20100727000149 |
| Provider Name | Heath L Bullard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174521769 PECOS PAC ID: 9739212127 Enrollment ID: I20100805000687 |
| Provider Name | Katie Phuong Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063405215 PECOS PAC ID: 4486779436 Enrollment ID: I20100914000563 |
| Provider Name | Erik Williams Haselhorst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073826806 PECOS PAC ID: 0042335713 Enrollment ID: I20100917000893 |
| Provider Name | Saira F Kurjee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982917357 PECOS PAC ID: 1951598580 Enrollment ID: I20101208001299 |
| Provider Name | Debra L Ware |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164575361 PECOS PAC ID: 7618164062 Enrollment ID: I20101210000237 |
| Provider Name | Thomas P Arnold |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215923859 PECOS PAC ID: 2466467121 Enrollment ID: I20101221000260 |
| Provider Name | William R Burges |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437157690 PECOS PAC ID: 7618043688 Enrollment ID: I20101222000514 |
| Provider Name | Phuong Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689703878 PECOS PAC ID: 6103012968 Enrollment ID: I20110111000572 |
| Provider Name | Clint B Meyer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215929609 PECOS PAC ID: 6800075912 Enrollment ID: I20110121000230 |
| Provider Name | Louis M. Mcmahon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114919701 PECOS PAC ID: 2264611383 Enrollment ID: I20110127000497 |
| Provider Name | Stephanie Marie Colorado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629380779 PECOS PAC ID: 9638365471 Enrollment ID: I20110201000545 |
| Provider Name | Stephen Gregory Lanier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083758833 PECOS PAC ID: 2466565932 Enrollment ID: I20110304000169 |
| Provider Name | Taylor R Brooks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942232608 PECOS PAC ID: 8628250487 Enrollment ID: I20110315000997 |
| Provider Name | Jessica A Saldivar-alvarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285936906 PECOS PAC ID: 9436332863 Enrollment ID: I20110323000308 |
| Provider Name | Mark D Anderson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427021062 PECOS PAC ID: 3678680469 Enrollment ID: I20110408000067 |
| Provider Name | Pui V Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134434673 PECOS PAC ID: 3870770829 Enrollment ID: I20110531000666 |
| Provider Name | Agnes L Palys |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831198548 PECOS PAC ID: 1456373588 Enrollment ID: I20110614000665 |
| Provider Name | Lisa A Frazier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982785200 PECOS PAC ID: 9335257708 Enrollment ID: I20110629000295 |
| Provider Name | Amie Sussan Gisbert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053633248 PECOS PAC ID: 8729256730 Enrollment ID: I20110719000136 |
| Provider Name | Saadi Darvish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20111021000321 |
| Provider Name | Linda F Hatton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700829710 PECOS PAC ID: 7113953845 Enrollment ID: I20111122000706 |
| Provider Name | Heath Allen Coleman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538448337 PECOS PAC ID: 3476727728 Enrollment ID: I20111122000755 |
| Provider Name | Kelby A Trusty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598740367 PECOS PAC ID: 7719030840 Enrollment ID: I20111205000815 |
| Provider Name | Kerry T Holt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699835637 PECOS PAC ID: 5294921052 Enrollment ID: I20111228000561 |
| Provider Name | Dan Mcqueen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881705069 PECOS PAC ID: 5092798355 Enrollment ID: I20120310000029 |
| Provider Name | Paul G Middleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578709762 PECOS PAC ID: 2961662101 Enrollment ID: I20120327000301 |
| Provider Name | Steven Charles Ezzell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467560771 PECOS PAC ID: 8325205776 Enrollment ID: I20120517000647 |
| Provider Name | Jill Marie Haven |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265433924 PECOS PAC ID: 9234186966 Enrollment ID: I20120620000728 |
| Provider Name | Dorothy Preston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245346899 PECOS PAC ID: 0244346062 Enrollment ID: I20120628000653 |
| Provider Name | James Isaac Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639434137 PECOS PAC ID: 8325204001 Enrollment ID: I20120724000987 |
| Provider Name | Maribel Garcia Riley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396835526 PECOS PAC ID: 9032366224 Enrollment ID: I20120823000765 |
| Provider Name | Ozhan Jafri |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073869434 PECOS PAC ID: 9739337866 Enrollment ID: I20120914000695 |
| Provider Name | Esther M Kovacs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639349830 PECOS PAC ID: 5991954505 Enrollment ID: I20120925000499 |
| Provider Name | Branon Z Marsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235201831 PECOS PAC ID: 4789834581 Enrollment ID: I20121031000508 |
| Provider Name | Carol A Marsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164595542 PECOS PAC ID: 5698925493 Enrollment ID: I20121031000523 |
| Provider Name | Rajan Arora |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861661845 PECOS PAC ID: 0749437275 Enrollment ID: I20130612000624 |
| Provider Name | Cheryl Simmons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891829131 PECOS PAC ID: 9638311384 Enrollment ID: I20130809000351 |
| Provider Name | Rokeisha Lorraine Joseph |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407198278 PECOS PAC ID: 3678715182 Enrollment ID: I20130813000671 |
| Provider Name | Steven Sugar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608107 PECOS PAC ID: 2264570639 Enrollment ID: I20130904000266 |
| Provider Name | Thanh Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265871784 PECOS PAC ID: 7618111899 Enrollment ID: I20130910000831 |
| Provider Name | Christopher Lee Trevino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679914725 PECOS PAC ID: 9830323922 Enrollment ID: I20131003000060 |
| Provider Name | Monica A Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376669242 PECOS PAC ID: 4284860719 Enrollment ID: I20131111001558 |
| Provider Name | Kim Ip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033462189 PECOS PAC ID: 6800022278 Enrollment ID: I20131114000468 |
| Provider Name | Alexandra Marie Nelson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356783641 PECOS PAC ID: 7911134028 Enrollment ID: I20131217001623 |
| Provider Name | Kristyn Angela Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726067 PECOS PAC ID: 0749405538 Enrollment ID: I20140711000658 |
| Provider Name | Sarah Rehmat Zaver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710393731 PECOS PAC ID: 8022238153 Enrollment ID: I20141013000930 |
| Provider Name | Christopher M Prough |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194139121 PECOS PAC ID: 0648491894 Enrollment ID: I20141031001646 |
| Provider Name | Brittney Leigh Probst |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205240553 PECOS PAC ID: 2365764008 Enrollment ID: I20141208000340 |
| Provider Name | Faraz Haghighi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063840528 PECOS PAC ID: 1153643671 Enrollment ID: I20141211000218 |
| Provider Name | Daniel A Wishnow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508963307 PECOS PAC ID: 5991843260 Enrollment ID: I20141216002409 |
| Provider Name | Angela Shin-lang Chu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790191773 PECOS PAC ID: 2769705987 Enrollment ID: I20141219000611 |
| Provider Name | Vinita Chiranand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225462849 PECOS PAC ID: 8527383009 Enrollment ID: I20150203001876 |
| Provider Name | Brandon Todd Moderhack |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487049003 PECOS PAC ID: 6800114141 Enrollment ID: I20150416000571 |
| Provider Name | Jacklyn Annette Alaquinez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417335175 PECOS PAC ID: 5395057939 Enrollment ID: I20150709002795 |
| Provider Name | Tyler Zellers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235571720 PECOS PAC ID: 6901032226 Enrollment ID: I20150901000164 |
| Provider Name | Amy Schnegg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417394461 PECOS PAC ID: 8729395579 Enrollment ID: I20150911000797 |
| Provider Name | Nicole C Stout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285019893 PECOS PAC ID: 3577879592 Enrollment ID: I20150915000514 |
| Provider Name | Andrew J Zaborowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881079002 PECOS PAC ID: 0244547503 Enrollment ID: I20150918000522 |
| Provider Name | Janet Ogletree |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053464172 PECOS PAC ID: 7315188513 Enrollment ID: I20150922002982 |
| Provider Name | Sophia K Nooruddin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386049906 PECOS PAC ID: 9830407774 Enrollment ID: I20150926000235 |
| Provider Name | Veronica Wong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518248277 PECOS PAC ID: 5991026007 Enrollment ID: I20150930002731 |
| Provider Name | Brodie S Dejernett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568843100 PECOS PAC ID: 8224338561 Enrollment ID: I20151118002082 |
| Provider Name | Christopher Envani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639271042 PECOS PAC ID: 1557418993 Enrollment ID: I20151223000289 |
| Provider Name | May T Ando |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245383843 PECOS PAC ID: 3375711435 Enrollment ID: I20160105000627 |
| Provider Name | Gladdis Thomas Page |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225445158 PECOS PAC ID: 0749583714 Enrollment ID: I20160125002788 |
| Provider Name | Cassandra Lappegaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20160316001100 |
| Provider Name | Huy A Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316374184 PECOS PAC ID: 9032418025 Enrollment ID: I20160426000351 |
| Provider Name | Kelly D Visentine |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396979944 PECOS PAC ID: 1254524168 Enrollment ID: I20160504001272 |
| Provider Name | Hiral Mehta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124316146 PECOS PAC ID: 6800187055 Enrollment ID: I20160620001969 |
| Provider Name | Jose Alfredo Payan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609009885 PECOS PAC ID: 7618268293 Enrollment ID: I20160629001736 |
| Provider Name | George Green |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477008274 PECOS PAC ID: 0547557977 Enrollment ID: I20160928000853 |
| Provider Name | Hang Jiang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780136515 PECOS PAC ID: 2466734322 Enrollment ID: I20170130000666 |
| Provider Name | Vinh Q Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396126538 PECOS PAC ID: 5294018503 Enrollment ID: I20170213000527 |
| Provider Name | Luis Carlos Marquez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275608978 PECOS PAC ID: 9335440569 Enrollment ID: I20170222000756 |
| Provider Name | Valerie Winfrey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780012112 PECOS PAC ID: 6800170374 Enrollment ID: I20170228002062 |
| Provider Name | Shelby D Gross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134501950 PECOS PAC ID: 0446567317 Enrollment ID: I20170614002875 |
| Provider Name | Iris Miao |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477901015 PECOS PAC ID: 1456643352 Enrollment ID: I20170731002812 |
| Provider Name | Shannon Lamb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720500168 PECOS PAC ID: 3173894441 Enrollment ID: I20170804000060 |
| Provider Name | Karen Lai Yin Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215378294 PECOS PAC ID: 5092958520 Enrollment ID: I20171017000481 |
| Provider Name | Jennifer Thai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013438464 PECOS PAC ID: 4880960848 Enrollment ID: I20171019001693 |
| Provider Name | Rebecca Anne Sheeder |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255888798 PECOS PAC ID: 4486911880 Enrollment ID: I20171120001030 |
| Provider Name | Violet C Ehiem |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215316161 PECOS PAC ID: 1153602875 Enrollment ID: I20171121000323 |
| Provider Name | Madelyn Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215332127 PECOS PAC ID: 4082972310 Enrollment ID: I20171214002206 |
| Provider Name | Kimmy Kirscht |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548781677 PECOS PAC ID: 7214296615 Enrollment ID: I20180110001399 |
| Provider Name | Conner Jay Mcnabb |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700376456 PECOS PAC ID: 6406103779 Enrollment ID: I20180717003915 |
| Provider Name | Zubin B Chacko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689174914 PECOS PAC ID: 5799032488 Enrollment ID: I20180726001772 |
| Provider Name | Jack Ibrahim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760978571 PECOS PAC ID: 4587912118 Enrollment ID: I20180730002502 |
| Provider Name | Desiree Chapa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225514920 PECOS PAC ID: 2860740818 Enrollment ID: I20180807003171 |
| Provider Name | Tiffani Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780161984 PECOS PAC ID: 1153670039 Enrollment ID: I20180827001640 |
| Provider Name | Alexandra M Zuercher |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003301235 PECOS PAC ID: 4385994151 Enrollment ID: I20180829002609 |
| Provider Name | Jenny Tan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598250136 PECOS PAC ID: 0749530228 Enrollment ID: I20180904001891 |
| Provider Name | Joel Orlando Trinidad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578041406 PECOS PAC ID: 0143570564 Enrollment ID: I20180906000345 |
| Provider Name | Christopher Michael Mathews |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841778842 PECOS PAC ID: 6901157544 Enrollment ID: I20180921000114 |
| Provider Name | Derek Y Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659866812 PECOS PAC ID: 0749534782 Enrollment ID: I20181112000214 |
| Provider Name | Amna Shahid Majeed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558840041 PECOS PAC ID: 6204170566 Enrollment ID: I20181207000219 |
| Provider Name | Lindsey Morgan Bank |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306332226 PECOS PAC ID: 2163767583 Enrollment ID: I20181212003619 |
| Provider Name | Rachael Mcgee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851872360 PECOS PAC ID: 3072858364 Enrollment ID: I20181213002941 |
| Provider Name | Cody James Armstrong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578043097 PECOS PAC ID: 8224373568 Enrollment ID: I20181214001403 |
| Provider Name | Jolynn T Hoang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780163139 PECOS PAC ID: 1153667589 Enrollment ID: I20190107001333 |
| Provider Name | Ashley N Olivarez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609398486 PECOS PAC ID: 5799023412 Enrollment ID: I20190205001238 |
| Provider Name | Nicholas Marcopulos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891823258 PECOS PAC ID: 0345486874 Enrollment ID: I20190219001089 |
| Provider Name | Ruby A Philip |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174928998 PECOS PAC ID: 1850631482 Enrollment ID: I20190319001024 |
| Provider Name | John Stuart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841755212 PECOS PAC ID: 7315280252 Enrollment ID: I20190516002742 |
| Provider Name | Dixie Yee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831491521 PECOS PAC ID: 9032443692 Enrollment ID: I20190702000482 |
| Provider Name | Jennifer Ann Lesniewski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952750218 PECOS PAC ID: 8224320452 Enrollment ID: I20190718000424 |
| Provider Name | Bryan Patrick Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851883151 PECOS PAC ID: 8527316595 Enrollment ID: I20190719000916 |
| Provider Name | Christina Sally Abuata |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467014225 PECOS PAC ID: 0446586531 Enrollment ID: I20190726002252 |
| Provider Name | Wendy Yarezzi Lopez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649824442 PECOS PAC ID: 8921338823 Enrollment ID: I20190919000258 |
| Provider Name | Sabah Amir Hasan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912567629 PECOS PAC ID: 7012247364 Enrollment ID: I20190930000641 |
| Provider Name | Sandra Kieu Tran Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568004349 PECOS PAC ID: 5991037376 Enrollment ID: I20191105000696 |
| Provider Name | Ya Chun Lin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083274740 PECOS PAC ID: 7315370293 Enrollment ID: I20191206001550 |
| Provider Name | Quy Ngoc Hoang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619461506 PECOS PAC ID: 4688007370 Enrollment ID: I20191211001286 |
| Provider Name | David Wesley Juett |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346898707 PECOS PAC ID: 5991132714 Enrollment ID: I20200217001405 |
| Provider Name | Amira Yamamoto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104335801 PECOS PAC ID: 9234492364 Enrollment ID: I20200413002448 |
| Provider Name | Juddie Correos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275194755 PECOS PAC ID: 3678903663 Enrollment ID: I20200414003670 |
| Provider Name | Tasha Ward |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972073294 PECOS PAC ID: 9931523479 Enrollment ID: I20200716003606 |
| Provider Name | Michael Aguilera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376192831 PECOS PAC ID: 3779907100 Enrollment ID: I20200717003129 |
| Provider Name | Ashley Kay Garcia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104460427 PECOS PAC ID: 4385068030 Enrollment ID: I20200728001380 |
| Provider Name | Felipe Deleon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114480977 PECOS PAC ID: 5991120032 Enrollment ID: I20200806000012 |
| Provider Name | Manvi Madhok |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174028922 PECOS PAC ID: 9638597644 Enrollment ID: I20200908001443 |
| Provider Name | Michael Joseph Everson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841857562 PECOS PAC ID: 4587991211 Enrollment ID: I20201202002948 |
| Provider Name | Anna H Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003420126 PECOS PAC ID: 9830503242 Enrollment ID: I20210126002737 |
| Provider Name | Kim Van Chau |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659975308 PECOS PAC ID: 6002221124 Enrollment ID: I20210223000037 |
| Provider Name | Natalia Aksamentov |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962028399 PECOS PAC ID: 0941616403 Enrollment ID: I20210308001397 |
| Provider Name | Daniel Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154929107 PECOS PAC ID: 7113334640 Enrollment ID: I20210330002344 |
| Provider Name | Christopher Doan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609279728 PECOS PAC ID: 7315354495 Enrollment ID: I20210408000687 |
| Provider Name | Ibrahim S Qattan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225531676 PECOS PAC ID: 1153739255 Enrollment ID: I20210408001972 |
| Provider Name | Luqman Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831663640 PECOS PAC ID: 7810305448 Enrollment ID: I20210421000801 |
| Provider Name | Mark G Cutler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396724662 PECOS PAC ID: 6507823259 Enrollment ID: I20210514000436 |
| Provider Name | Molly Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023694858 PECOS PAC ID: 3173922978 Enrollment ID: I20210527002223 |
| Provider Name | Maria Del Carmen Soto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114594504 PECOS PAC ID: 2961802822 Enrollment ID: I20210614003444 |
| Provider Name | Nam-phong Le |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194386961 PECOS PAC ID: 9830591106 Enrollment ID: I20210708002402 |
| Provider Name | Patrick Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164048591 PECOS PAC ID: 3971907452 Enrollment ID: I20210805000473 |
| Provider Name | Mehri Moshtaghi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700194040 PECOS PAC ID: 9830429547 Enrollment ID: I20210827000579 |
| Provider Name | Kip Orbeck |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316051865 PECOS PAC ID: 7810394012 Enrollment ID: I20210929003676 |
| Provider Name | Amie T Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457965477 PECOS PAC ID: 7113325432 Enrollment ID: I20211018000404 |
| Provider Name | Ruchita Sharma |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033881602 PECOS PAC ID: 2163811019 Enrollment ID: I20211115000897 |
| Provider Name | Marissa Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275205106 PECOS PAC ID: 7810386315 Enrollment ID: I20211122001403 |
| Provider Name | Tyler Austin Kvinta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902473457 PECOS PAC ID: 7517357080 Enrollment ID: I20211124001698 |
| Provider Name | Arsalah Bana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023689742 PECOS PAC ID: 2466842372 Enrollment ID: I20211208003266 |
| Provider Name | Dana Rader |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174961924 PECOS PAC ID: 9234539040 Enrollment ID: I20211214000361 |
| Provider Name | Van-anh Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20211214003154 |
| Provider Name | Daniel Mcintosh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073000964 PECOS PAC ID: 0446506141 Enrollment ID: I20220128001275 |
| Provider Name | Wiley Walls |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396401733 PECOS PAC ID: 2466845318 Enrollment ID: I20220217000555 |
| Provider Name | Jeany S Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992225056 PECOS PAC ID: 9032465935 Enrollment ID: I20220304001423 |
| Provider Name | Mimi Duong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295306272 PECOS PAC ID: 4082008149 Enrollment ID: I20220307001109 |
| Provider Name | Andy Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831719020 PECOS PAC ID: 7618362542 Enrollment ID: I20220311000985 |
| Provider Name | Haley Vasilko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346820594 PECOS PAC ID: 6305231424 Enrollment ID: I20220328000411 |
| Provider Name | Kathy L Phan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710019443 PECOS PAC ID: 7618075128 Enrollment ID: I20220330000431 |
| Provider Name | Daniel Gruver |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053364786 PECOS PAC ID: 7517354947 Enrollment ID: I20220503001509 |
| Provider Name | Brittany Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477123891 PECOS PAC ID: 7911384490 Enrollment ID: I20220523001970 |
| Provider Name | Mohsan Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417580713 PECOS PAC ID: 6406235241 Enrollment ID: I20220624000446 |
| Provider Name | Yeseul Lim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841883212 PECOS PAC ID: 5496161531 Enrollment ID: I20220627003615 |
| Provider Name | Anusha Rachel Mathew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609506336 PECOS PAC ID: 4789064411 Enrollment ID: I20220712000721 |
| Provider Name | Louis Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013074731 PECOS PAC ID: 6002861440 Enrollment ID: I20220802000878 |
| Provider Name | Shriya Ruparel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104471739 PECOS PAC ID: 8729460084 Enrollment ID: I20220802004089 |
| Provider Name | Janne Yi-ni Chuang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740768126 PECOS PAC ID: 2365784691 Enrollment ID: I20220804001326 |
| Provider Name | Melanie Lorenzana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326698127 PECOS PAC ID: 9234511106 Enrollment ID: I20220809002657 |
| Provider Name | Emily Joanna Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093453128 PECOS PAC ID: 9537543798 Enrollment ID: I20220907002350 |
| Provider Name | Thuy Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811517899 PECOS PAC ID: 9537567003 Enrollment ID: I20221007002239 |
| Provider Name | Destiny Mbidoaka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942957683 PECOS PAC ID: 0547636102 Enrollment ID: I20221021002693 |
| Provider Name | Prarthana Agrawal |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013355288 PECOS PAC ID: 6103104195 Enrollment ID: I20221110000126 |
| Provider Name | Lydia S Han |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619621968 PECOS PAC ID: 5991174898 Enrollment ID: I20221216000203 |
| Provider Name | Sylvianne Youngblood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295396257 PECOS PAC ID: 4587994231 Enrollment ID: I20230112001374 |
| Provider Name | Ayomide Oyindamola Osibanjo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528707064 PECOS PAC ID: 8820468697 Enrollment ID: I20230112001578 |
| Provider Name | Jordan Reyes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396472254 PECOS PAC ID: 0143690933 Enrollment ID: I20230112002318 |
| Provider Name | Hannah Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124386222 PECOS PAC ID: 4880065168 Enrollment ID: I20230124002852 |
| Provider Name | Diana Ly |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538778907 PECOS PAC ID: 2466824826 Enrollment ID: I20230211000195 |
| Provider Name | Marie Lulette Fermil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063728277 PECOS PAC ID: 2769857044 Enrollment ID: I20230419001668 |
| Provider Name | Carlos Liranzo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366019754 PECOS PAC ID: 2860877065 Enrollment ID: I20230419003116 |
| Provider Name | Sammy-kumar Hogan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104559830 PECOS PAC ID: 9830554575 Enrollment ID: I20230502000864 |
| Provider Name | Anthony Cortes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932805272 PECOS PAC ID: 7719345156 Enrollment ID: I20230616002626 |
| Provider Name | Kimberly Vang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033897244 PECOS PAC ID: 4385007525 Enrollment ID: I20230905004116 |
| Provider Name | Arpit Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710595368 PECOS PAC ID: 1254729684 Enrollment ID: I20230920003577 |
| Provider Name | Mehwish Ali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548736754 PECOS PAC ID: 5092169573 Enrollment ID: I20231004001188 |
| Provider Name | Yvonne Lee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1144217035 PECOS PAC ID: 3678535978 Enrollment ID: I20231022000078 |
| Provider Name | Jessica Sunny |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841976446 PECOS PAC ID: 2769838929 Enrollment ID: I20231024001761 |
| Provider Name | Ramal Yaqoob |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104609379 PECOS PAC ID: 4688020563 Enrollment ID: I20231030000570 |
| Provider Name | Natasha Ana Maria Gasser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386350577 PECOS PAC ID: 4486029527 Enrollment ID: I20231213001819 |
| Provider Name | Tiffany Yin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588346381 PECOS PAC ID: 7113376336 Enrollment ID: I20231213003680 |
| Provider Name | Morgan Meeks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538942669 PECOS PAC ID: 9436508553 Enrollment ID: I20231213003944 |
| Provider Name | Richard Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205518750 PECOS PAC ID: 6608225727 Enrollment ID: I20231213004002 |
| Provider Name | Tommy Chin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386209427 PECOS PAC ID: 6901228808 Enrollment ID: I20240422003211 |
| Provider Name | Sidra Ahmad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366115206 PECOS PAC ID: 7911303888 Enrollment ID: I20240507001543 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Texas Professional Pllc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Aeg Texas Professional Pllc 205b W Water St, Kerrville, TX 78028-4252 Ph: (830) 896-2600 |
Vision Optics Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1305 Sidney Baker St Ste B, Kerrville, TX 78028 Phone: 830-792-5880 Fax: 830-792-4950 | |
Dr. Brandon Blaker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 205-b West Water St., Kerrville, TX 78028 Phone: 830-896-4044 Fax: 830-257-6419 | |
Heather Anderegg, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1001 Water St Ste E-100, Kerrville, TX 78028 Phone: 830-257-4417 Fax: 830-257-1480 | |
Bret B Ford, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 714 Hill Country Drive, Kerrville, TX 78028 Phone: 830-315-3673 Fax: 830-315-3939 | |
Dr. Jeffrey Kevin Elkins, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1216 Junction Hwy, Kerrville, TX 78028 Phone: 830-895-7858 Fax: 830-895-0003 | |
Hill Country Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 205b W Water St, Kerrville, TX 78028 Phone: 830-896-2600 | |
Vision Source Optometrist Medicare: Medicare Enrolled Practice Location: 708 Hill Country Dr, Suite 100, Kerrville, TX 78028 Phone: 830-257-5656 Fax: 830-257-5856 |