| Eyeclinic Medical | |
|
326 S Edmonds Ln Ste 101, Lewisville, TX 75067-3507 | |
| (469) 616-2030 | |
| (469) 616-2031 |
| Full Name | Eyeclinic Medical |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 326 S Edmonds Ln Ste 101, Lewisville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104014984 | NPI | - | NPPES |
| 166457501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6174TG (Texas) | Primary |
| Provider Name | Hamid Hashemi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750306585 PECOS PAC ID: 0143279521 Enrollment ID: I20060201000883 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyeclinic Medical 326 S Edmonds Ln Ste 101, Lewisville, TX 75067-3507 Ph: (469) 616-2030 | Eyeclinic Medical 326 S Edmonds Ln Ste 101, Lewisville, TX 75067-3507 Ph: (469) 616-2030 |
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Eyeclinic Medical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 326 S Edmonds Ln Ste 100, Lewisville, TX 75067 Phone: 469-616-2030 Fax: 469-616-2031 |