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213 S Highway 281, Suite A, Johnson City, TX 78636 | |
(830) 868-0327 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 213 S Highway 281, Johnson City, 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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1528541141 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 6568TG (Texas) | Primary |
Provider Name | Sarah E Berg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326012386 PECOS PAC ID: 9234156183 Enrollment ID: I20051029000216 |
Provider Name | Kyle L Florio |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1689836678 PECOS PAC ID: 4880762434 Enrollment ID: I20081008000883 |
Mailing Address | Practice Location Address |
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213 S Highway 281, Suite A, Johnson City, TX 78636 Ph: (830) 868-0327 | 213 S Highway 281, Suite A, Johnson City, TX 78636 Ph: (830) 868-0327 |