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502 N Hewitt Dr, Hewitt, TX 76643-3038 | |
(254) 666-2992 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 502 N Hewitt Dr, Hewitt, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396311643 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Aisha J Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962852350 PECOS PAC ID: 8325335938 Enrollment ID: I20190625002735 |
Mailing Address | Practice Location Address |
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1728 S Fm 1626, Buda, TX 78610-9444 Ph: (512) 971-2406 | 502 N Hewitt Dr, Hewitt, TX 76643-3038 Ph: (254) 666-2992 |
Dr. Blake R Christensen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 512 Hewitt Dr, Hewitt, TX 76643 Phone: 254-666-2292 |