| Kilgore Eye Care Center | |
|
1100 Stone Rd, Suite 2020, Kilgore, TX 75662-5482 | |
| (903) 983-2020 | |
| (903) 983-4000 |
| Full Name | Kilgore Eye Care Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1100 Stone Rd, Kilgore, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184655649 | NPI | - | NPPES |
| 019369001 | Medicaid | TX | |
| 00E45Y | Other | TX | BLUE CROSS BLUE SHIELD |
| 410022897 | Other | TX | PALMETTO GBA-RAILROAD MED |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2344TG (Texas) | Primary |
| Provider Name | Jerry T Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629032768 PECOS PAC ID: 5496863250 Enrollment ID: I20101228000036 |
| Provider Name | Jadie B Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952593311 PECOS PAC ID: 5890976971 Enrollment ID: I20110222001129 |
| Provider Name | Shiloh S Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427240878 PECOS PAC ID: 0042491128 Enrollment ID: I20110222001159 |
| Provider Name | Shawn Kenneth Johnston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952754202 PECOS PAC ID: 8820377567 Enrollment ID: I20161121000104 |
| Mailing Address | Practice Location Address |
|---|---|
| Kilgore Eye Care Center Po Box 8000, Kilgore, TX 75663-8000 Ph: (903) 983-2020 | Kilgore Eye Care Center 1100 Stone Rd, Suite 2020, Kilgore, TX 75662-5482 Ph: (903) 983-2020 |
Craig Eye Kilgore - White Oak Optometrist Medicare: Medicare Enrolled Practice Location: 800 Us Highway 259 N, Kilgore, TX 75662 Phone: 903-984-3101 Fax: 903-984-5217 | |
Dr. Jeffery John Pinkerton, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 800 Highway 259 North, Kilgore, TX 75662 Phone: 903-984-3101 Fax: 903-984-5217 | |
Dr. Jerry Ted Roberts, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Stone Rd, Suite 2020, Kilgore, TX 75662 Phone: 903-983-2020 Fax: 903-983-4000 | |
Dr. Jadie Bolton Roberts, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1100 Stone Rd, Suite 2020, Kilgore, TX 75662 Phone: 903-983-2020 Fax: 903-983-4000 |