Lake Worth Vision Source | |
6636 Lake Worth Blvd, Ste. 300, Lake Worth, TX 76135-3026 | |
(817) 626-4441 | |
(817) 625-7675 |
Full Name | Lake Worth Vision Source |
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Type | Facility |
Speciality | Optometrist |
Location | 6636 Lake Worth Blvd, Lake Worth, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851580351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3120T (Texas) | Primary |
Provider Name | Michael D Conte |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417951179 PECOS PAC ID: 7012905466 Enrollment ID: I20080814000567 |
Provider Name | Brandi E Stewart |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1508236779 PECOS PAC ID: 8325349467 Enrollment ID: I20151215002101 |
Provider Name | Danielle M Nimeh |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922607274 PECOS PAC ID: 7113339474 Enrollment ID: I20201210002698 |
Mailing Address | Practice Location Address |
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Lake Worth Vision Source 6636 Lake Worth Blvd, Ste. 300, Lake Worth, TX 76135-3026 Ph: (817) 626-4441 | Lake Worth Vision Source 6636 Lake Worth Blvd, Ste. 300, Lake Worth, TX 76135-3026 Ph: (817) 626-4441 |
Lake Worth Premier Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 6921 Foster Dr, Lake Worth, TX 76135 Phone: 817-439-9455 | |
Mr. Michael D Conte, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6636 Lake Worth Blvd, Siute 300, Lake Worth, TX 76135 Phone: 817-626-4441 | |
Cynthia Rosaline Witt, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 Phone: 817-741-6828 | |
Dr. Alex Conley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6060 Azle Ave Ste 500, Lake Worth, TX 76135 Phone: 817-546-9000 | |
Loren Baza, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6014 Azle Ave Ste 200, Lake Worth, TX 76135 Phone: 682-312-2603 | |
Dr. Jonathan Nicholas Valamides, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 Phone: 817-546-6000 |