| Ethelred Enterprises, Llc. | |
|
614 N New Rd # 6035, Waco, TX 76710-6035 | |
| (254) 770-1338 | |
| (254) 770-1602 |
| Full Name | Ethelred Enterprises, Llc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 614 N New Rd # 6035, Waco, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154585180 | NPI | - | NPPES |
| TX4923 | Other | TX | EYE MED |
| 181493101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4923T (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ethelred Enterprises, Llc. 614 N New Rd, Waco, TX 76710-6035 Ph: (254) 776-1338 | Ethelred Enterprises, Llc. 614 N New Rd # 6035, Waco, TX 76710-6035 Ph: (254) 770-1338 |
Dr. Terry L Bolen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Hewitt Dr, Waco, TX 76712 Phone: 254-339-1000 | |
Stacie L. Virden, O.d. P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 W State Highway 6, Suite 210, Waco, TX 76712 Phone: 254-776-8119 Fax: 254-776-1511 | |
Green Eye Associates, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Lake Air Dr, Waco, TX 76710 Phone: 254-752-0471 | |
Dr. Erika Marie Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Drive, Building 91/eye Clinic, Waco, TX 76711 Phone: 254-297-3000 Fax: 254-297-3710 | |
Emily Ngoc Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Dr. Terry L. Bolen, Optometrist, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Hewitt Dr, Waco, TX 76712 Phone: 254-339-1000 | |
Victoria Pham, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 713-575-7085 |