| Lake Ridge Eye Care Pa | |
|
4927 Lake Ridge Pkwy, Ste. 160, Grand Prairie, TX 75052-3073 | |
| (972) 641-5900 | |
| (972) 641-5903 |
| Full Name | Lake Ridge Eye Care Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4927 Lake Ridge Pkwy, Grand Prairie, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558450452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6592TG (Texas) | Primary |
| Provider Name | Carolyn K Kha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114919677 PECOS PAC ID: 2567430549 Enrollment ID: I20040917000621 |
| Provider Name | William Mcaninch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841484649 PECOS PAC ID: 9234225400 Enrollment ID: I20120719000445 |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Ridge Eye Care Pa 4927 Lake Ridge Pkwy, Ste. 160, Grand Prairie, TX 75052-3073 Ph: (972) 641-5900 | Lake Ridge Eye Care Pa 4927 Lake Ridge Pkwy, Ste. 160, Grand Prairie, TX 75052-3073 Ph: (972) 641-5900 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 Phone: 469-805-6583 | |
Dr. Jaime Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2634 S Carrier Pkwy, 101, Grand Prairie, TX 75052 Phone: 972-641-0011 | |
Julia Landavazo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135 | |
Dr. Carolyn K Kha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite Number 160, Grand Prairie, TX 75052 Phone: 972-641-5900 Fax: 972-641-5903 | |
Kristin Diem Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 | |
Express Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879 |