Ellis County Eye Center, Pllc | |
2405 Yorkstown Dr, Ennis, TX 75119-2191 | |
(972) 875-3181 | |
(972) 875-6443 |
Full Name | Ellis County Eye Center, Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 2405 Yorkstown Dr, Ennis, 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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1881686699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5150TG (Texas) | Primary |
Provider Name | Jerry L Northcutt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669521993 PECOS PAC ID: 7214045053 Enrollment ID: I20160318001678 |
Mailing Address | Practice Location Address |
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Ellis County Eye Center, Pllc 2405 Yorkstown Dr, Ennis, TX 75119-2191 Ph: () - | Ellis County Eye Center, Pllc 2405 Yorkstown Dr, Ennis, TX 75119-2191 Ph: (972) 875-3181 |
Dr. Tiffany Rebecca Risner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 208 W Knox St, Ennis, TX 75119 Phone: 469-456-0059 Fax: 469-456-0020 | |
Dr. Andrea Alvarez, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 818 W Ennis Ave, Ennis, TX 75119 Phone: 972-875-9700 Fax: 972-875-9721 | |
Jerry Northcutt, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2405 Yorkstown Dr, Ennis, TX 75119 Phone: 972-878-3181 |