Dr Destiny Mbidoaka, OD | |
8894 Gateway N Blvd, El Paso, TX 79904 | |
(915) 747-7960 | |
Not Available |
Full Name | Dr Destiny Mbidoaka |
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Gender | Male |
Speciality | Optometrist |
Location | 8894 Gateway N Blvd, El Paso, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942957683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10501TG (Texas) | Primary |
Provider Name | Aeg Texas Professional Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
Mailing Address | Practice Location Address |
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Dr Destiny Mbidoaka, OD 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Dr Destiny Mbidoaka, OD 8894 Gateway N Blvd, El Paso, TX 79904 Ph: (915) 747-7960 |
Dr. Dillon Lee Boynton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8080 Gateway Blvd E, El Paso, TX 79907 Phone: 915-592-1011 | |
Carmona Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11360 Pellicano Dr, El Paso, TX 79936 Phone: 915-775-2020 Fax: 915-590-6224 | |
Dr. Nancy Ann Semko, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10415 Gateway Blvd W, El Paso, TX 79925 Phone: 915-592-6885 | |
Dba Eye Care Plus Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 N Mesa St, El Paso, TX 79901 Phone: 915-544-9090 | |
Sun City Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 750 Sunland Park Dr, G1, El Paso, TX 79912 Phone: 915-585-1949 Fax: 915-581-3613 | |
Dr. Vinson E Nance, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 11365 Montwood Dr, Suite D, El Paso, TX 79936 Phone: 915-857-3997 Fax: 915-857-1203 | |
Dr. Hosna S Rastegary, Optometrist Medicare: Medicare Enrolled Practice Location: 5920 Cromo Dr, El Paso, TX 79912 Phone: 915-545-2010 |