Drew Provost, OD | |
10401 Research Blvd Ste A, Austin, TX 78759-5712 | |
(512) 345-2000 | |
(512) 345-2002 |
Full Name | Drew Provost |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 10401 Research Blvd Ste A, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265621882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT002244 (Georgia) | Secondary |
152W00000X | Optometrist | 7799T (Texas) | Primary |
Provider Name | Great Hills Eye Care, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750634200 PECOS PAC ID: 4981849841 Enrollment ID: O20130325000164 |
Mailing Address | Practice Location Address |
---|---|
Drew Provost, OD 10401 Research Blvd, Ste A, Austin, TX 78759-5712 Ph: (512) 345-2000 | Drew Provost, OD 10401 Research Blvd Ste A, Austin, TX 78759-5712 Ph: (512) 345-2000 |
Briana Michelle Larson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10601 Pecan Park Boulevard, Suite 201, Austin, TX 78750 Phone: 512-401-0400 Fax: 512-401-0403 | |
Austin Family Vision Optometrist Medicare: Medicare Enrolled Practice Location: 1030 Norwood Park Blvd Ste A, Austin, TX 78753 Phone: 512-491-9707 Fax: 512-491-9735 | |
Stephanie Lynn Lechlitner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 360 Nueces St, Suite 70, Austin, TX 78701 Phone: 512-643-2020 | |
Soroush Bahnamiri Azadi, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 4211 S Lamar Blvd, Ste E-3, Austin, TX 78704 Phone: 512-916-4600 | |
Dr. Ardith Renee Pagan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11005 Burnet Rd, Suite 120, Austin, TX 78758 Phone: 512-596-2020 Fax: 512-596-3937 | |
Ms. Kathryn Elizabeth Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1801 E 51st St, Austin, TX 78723 Phone: 512-271-6677 Fax: 512-271-6674 | |
Jennifer Thai, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4301 W William Cannon Dr Ste 210, Austin, TX 78749 Phone: 512-328-0015 |