Charlie Jim Moore, OD | |
2481 I 40 W, Amarillo, TX 79109 | |
(806) 358-2205 | |
(806) 463-2907 |
Full Name | Charlie Jim Moore |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2481 I 40 W, Amarillo, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003868670 | NPI | - | NPPES |
1331696-07 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2740TG (Texas) | Primary |
Provider Name | Amarillo Vision Specialists Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1104124304 PECOS PAC ID: 9931448834 Enrollment ID: O20190311000955 |
Mailing Address | Practice Location Address |
---|---|
Charlie Jim Moore, OD 2481 I 40 W, Amarillo, TX 79109 Ph: (806) 358-2205 | Charlie Jim Moore, OD 2481 I 40 W, Amarillo, TX 79109 Ph: (806) 358-2205 |
Julia Fitzpatrick, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6010 W Amarillo Blvd, Amarillo, TX 79106 Phone: 806-355-9703 | |
William A Sansing, OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Paramount Blvd, Amarillo, TX 79109 Phone: 806-355-9536 Fax: 806-353-5572 | |
Dr. Candace E Lipshy, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5311 W 9th Ave, Amarillo, TX 79106 Phone: 806-359-3937 Fax: 806-359-8124 | |
Dr. William Robert Chafin Iii, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2303 S Georgia St, Amarillo, TX 79109 Phone: 806-359-3956 Fax: 806-355-6907 | |
Kayci Houlette, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3635 S Soncy Rd, Amarillo, TX 79119 Phone: 806-356-6868 Fax: 806-351-0120 | |
Medical Center Eye Associates, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1900 S Coulter Drive, Suite I, Amarillo, TX 79106 Phone: 806-355-9411 Fax: 806-322-3451 |