I is a
Optometrist based in Westworth Village, Texas. I is licensed to practice in Texas (license number 06876TG) and their current practice location is
6760 Westworth Blvd, Westworth Village, Texas. It can be reached at their office (for appointments etc.) via phone at
(817) 989-2424.
NPI number for I is 1700101243 and their current mailing address is 6760 Westworth Blvd, Westworth Village, Texas. I
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1700101243.
Healthcare Provider's Profile
| Full Name | I |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
|---|
| Location | 6760 Westworth Blvd, Westworth Village, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1700101243
- Provider Enumeration Date: 03/27/2010
- Last Update Date: 03/27/2010
Medical Identifiers
Medical identifiers for I such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700101243 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 06876TG (Texas) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 06876TG (Texas) | Secondary |
| 152WX0102X | Optometrist - Occupational Vision | 06876TG (Texas) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. I is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
I
6760 Westworth Blvd,
Westworth Village, TX 76114-4002
Ph: (817) 989-2424 | I
6760 Westworth Blvd,
Westworth Village, TX 76114-4002
Ph: (817) 989-2424 |
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