Chantelle Kay Ribisi, OD | |
8410 Datapoint Dr, San Antonio, TX 78229-3220 | |
(210) 617-5300 | |
Not Available |
Full Name | Chantelle Kay Ribisi |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 8410 Datapoint Dr, San Antonio, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700403391 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | PROGRESS (Texas) | Primary |
Provider Name | University Of The Incarnate Word |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
Mailing Address | Practice Location Address |
---|---|
Chantelle Kay Ribisi, OD 8933 Emerald Spg, San Antonio, TX 78250-5098 Ph: (347) 979-5977 | Chantelle Kay Ribisi, OD 8410 Datapoint Dr, San Antonio, TX 78229-3220 Ph: (210) 617-5300 |
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