Dr Jack Ibrahim, OD | |
398 E Fm 1382, Cedar Hill, TX 75104-6024 | |
(909) 919-6044 | |
Not Available |
Full Name | Dr Jack Ibrahim |
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Gender | Male |
Speciality | Optometrist |
Location | 398 E Fm 1382, Cedar Hill, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760978571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9518T (Texas) | Primary |
Provider Name | Rhodes Vision Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881845477 PECOS PAC ID: 0042374621 Enrollment ID: O20090126000712 |
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 Jack Ibrahim, OD 398 E Fm 1382, Cedar Hill, TX 75104-6024 Ph: (909) 919-6044 | Dr Jack Ibrahim, OD 398 E Fm 1382, Cedar Hill, TX 75104-6024 Ph: (909) 919-6044 |
Narin Petikun Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 621 Uptown Blvd, A, Cedar Hill, TX 75104 Phone: 972-293-7061 | |
Dr. Michaela Marie Bartels, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 N Highway 67, #150, Cedar Hill, TX 75104 Phone: 972-299-8967 | |
Latorian King, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 N Highway 67 Ste 150, Cedar Hill, TX 75104 Phone: 972-299-8967 | |
Priti Trivedi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 425 E Pleasant Run Rd Ste 299, Cedar Hill, TX 75104 Phone: 469-523-0000 | |
Nha Phan, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 707 N Highway 67 Ste 150, Cedar Hill, TX 75104 Phone: 972-299-8967 | |
Cedar Hill Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 818 N Highway 67 Ste 104, Cedar Hill, TX 75104 Phone: 972-293-2020 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 425 E Pleasant Run Rd Ste 299, Cedar Hill, TX 75104 Phone: 469-523-0000 Fax: 469-523-0248 |