Diagnostic Eye Center | |
3405 Edloe St, Suite 300, Houston, TX 77027-6520 | |
(713) 797-1500 | |
(713) 797-1150 |
Full Name | Diagnostic Eye Center |
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Type | Facility |
Speciality | Ophthalmology |
Location | 3405 Edloe St, Houston, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265654750 | NPI | - | NPPES |
CG6329 | Other | TX | MEDICARE RAILROAD |
080929501 | Medicaid | TX | |
687760 | Other | TX | AETNA |
0077EB | Other | TX | BCBS GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6115TG (Texas) | Secondary |
152W00000X | Optometrist | 8187T (Texas) | Secondary |
207W00000X | Ophthalmology | J3593 (Texas) | Primary |
Provider Name | Aric R Welton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629067640 PECOS PAC ID: 0941373872 Enrollment ID: I20080724000775 |
Provider Name | Marc R Sanders |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508855529 PECOS PAC ID: 0648216119 Enrollment ID: I20101104000265 |
Provider Name | Stephanie Marie Lozano |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245679471 PECOS PAC ID: 1052553245 Enrollment ID: I20130819000405 |
Provider Name | Andrew K Salem |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1114218278 PECOS PAC ID: 9830401678 Enrollment ID: I20160519002010 |
Provider Name | Elizabeth L Bell |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740849629 PECOS PAC ID: 8123354081 Enrollment ID: I20190730003216 |
Provider Name | Andres Sebastian Parra |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871097451 PECOS PAC ID: 8022429406 Enrollment ID: I20220621001974 |
Mailing Address | Practice Location Address |
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Diagnostic Eye Center 3405 Edloe St, Suite 300, Houston, TX 77027-6520 Ph: (713) 797-1500 | Diagnostic Eye Center 3405 Edloe St, Suite 300, Houston, TX 77027-6520 Ph: (713) 797-1500 |