| |
143 Vision Park Blvd, Shenandoah, TX 77384-3001 | |
(281) 363-3443 | |
(936) 271-1351 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 143 Vision Park Blvd, Shenandoah, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306002407 | NPI | - | NPPES |
0072KD | Other | TX | BLUE CROSS BLUE SHIELD |
158559801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
143 Vision Park Blvd, Shenandoah, TX 77384-3001 Ph: (281) 363-3443 | 143 Vision Park Blvd, Shenandoah, TX 77384-3001 Ph: (281) 363-3443 |