| Custom Eyes Optique And Eyecare | |
|
2339 Round Mountain Cir, Lewisville, TX 75056-5633 | |
| (214) 387-7770 | |
| (214) 436-4488 |
| Full Name | Custom Eyes Optique And Eyecare |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2339 Round Mountain Cir, Lewisville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396998704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6015TG (Texas) | Primary |
| Provider Name | Christa Y Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417117227 PECOS PAC ID: 5395808554 Enrollment ID: I20090114000257 |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Eyes Optique And Eyecare 2339 Round Mountain Cir, Lewisville, TX 75056-5633 Ph: (847) 922-3281 | Custom Eyes Optique And Eyecare 2339 Round Mountain Cir, Lewisville, TX 75056-5633 Ph: (214) 387-7770 |
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