Dr James L Mikkelsen, OD | |
3405 Spencer Hwy, Pasadena, TX 77504-1107 | |
(281) 875-2020 | |
Not Available |
Full Name | Dr James L Mikkelsen |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3405 Spencer Hwy, Pasadena, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265407373 | NPI | - | NPPES |
11616014 | Other | CAQH | |
1548190-04 | Medicaid | TX | |
1548190-06 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2554T (Texas) | Primary |
Provider Name | Med Southwest Pllc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481 |
Mailing Address | Practice Location Address |
---|---|
Dr James L Mikkelsen, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dr James L Mikkelsen, OD 3405 Spencer Hwy, Pasadena, TX 77504-1107 Ph: (281) 875-2020 |
Shelby Wilkes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1008 Southmore Ave Ste 120, Pasadena, TX 77502 Phone: 713-821-3091 | |
Tia Newsom Budde, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5125 Fairmont Pkwy, Pasadena, TX 77505 Phone: 713-477-6929 Fax: 281-598-6475 | |
Dr. Kristan L Gibson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3333 Bayshore Blvd, Suite 280, Pasadena, TX 77504 Phone: 713-943-8671 Fax: 713-943-1657 | |
Vision Source Pasadena Optometrist Medicare: Medicare Enrolled Practice Location: 5233 Fairmont Pkwy, Suite G1, Pasadena, TX 77505 Phone: 281-487-8100 Fax: 281-487-8103 | |
Hong Kim Thi Bui, OD Optometrist Medicare: Medicare Enrolled Practice Location: 201 Pasadena Town Square Mall, Pasadena, TX 77506 Phone: 713-472-7392 Fax: 713-472-2450 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3405 Spencer Hwy, Pasadena, TX 77504 Phone: 281-875-2020 Fax: 713-946-7257 | |
Southmore Texas State Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 825 E Southmore Ave, Pasadena, TX 77502 Phone: 713-473-2020 |