Eye Clinic Of Austin | |
3410 Far West Blvd Ste 140, Austin, TX 78731 | |
(512) 427-1107 | |
(512) 427-1208 |
Full Name | Eye Clinic Of Austin |
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Type | Facility |
Speciality | Ophthalmology |
Location | 3410 Far West Blvd Ste 140, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023363926 | NPI | - | NPPES |
313929702 | Medicaid | TX | |
PENDING | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 06143TG (Texas) | Secondary |
207W00000X | Ophthalmology | F4863 (Texas) | Primary |
Provider Name | Melanie M Prosise |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801988316 PECOS PAC ID: 7113020538 Enrollment ID: I20070305000718 |
Provider Name | Thomas T Henderson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1407045339 PECOS PAC ID: 5597868166 Enrollment ID: I20100820000617 |
Provider Name | Farhan Irshad |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871775650 PECOS PAC ID: 3971635756 Enrollment ID: I20180116001283 |
Provider Name | Chelsea Anne Devitt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093236416 PECOS PAC ID: 9537427398 Enrollment ID: I20190712000998 |
Provider Name | Irina Volosko |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1023520624 PECOS PAC ID: 2567864929 Enrollment ID: I20220927003645 |
Mailing Address | Practice Location Address |
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Eye Clinic Of Austin 3410 Far West Blvd Ste 140, Austin, TX 78731 Ph: (512) 427-1107 | Eye Clinic Of Austin 3410 Far West Blvd Ste 140, Austin, TX 78731 Ph: (512) 427-1107 |