| Lakeline Vision Source | |
|
3419 El Salido Pkwy Ste 100, Cedar Park, TX 78613-5639 | |
| (512) 918-3937 | |
| (512) 918-2028 |
| Full Name | Lakeline Vision Source |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3419 El Salido Pkwy Ste 100, Cedar Park, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265489777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kimberlee M Slaughter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447207949 PECOS PAC ID: 5496742637 Enrollment ID: I20040428001493 |
| Provider Name | Dipa M Kodukula |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730163494 PECOS PAC ID: 5496770570 Enrollment ID: I20051007000403 |
| Provider Name | Susan E Shauger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881640944 PECOS PAC ID: 2769426022 Enrollment ID: I20070524000062 |
| Provider Name | Laurie L Sorrenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932156502 PECOS PAC ID: 2264538115 Enrollment ID: I20100129000647 |
| Provider Name | Jennifer H Catalasan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467716613 PECOS PAC ID: 1658528989 Enrollment ID: I20120821001095 |
| Provider Name | Melodi Esmaili |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962819938 PECOS PAC ID: 2163705427 Enrollment ID: I20170210001112 |
| Provider Name | Eric Joseph Hammond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679011993 PECOS PAC ID: 3678843026 Enrollment ID: I20170718003463 |
| Provider Name | Kevin Soong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528589017 PECOS PAC ID: 9133472210 Enrollment ID: I20181019002412 |
| Provider Name | Thien Duc Doc Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205322351 PECOS PAC ID: 7719398452 Enrollment ID: I20210630000004 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeline Vision Source 3419 El Salido Pkwy Ste 100, Cedar Park, TX 78613-5639 Ph: (512) 918-3937 | Lakeline Vision Source 3419 El Salido Pkwy Ste 100, Cedar Park, TX 78613-5639 Ph: (512) 918-3937 |
Dr. Peter Hyun Pak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11200 Lakeline Mall Dr, Cedar Park, TX 78613 Phone: 512-698-8112 | |
Teesha Darlene Frey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 925 Starwood Dr, Cedar Park, TX 78613 Phone: 512-327-7000 | |
Dr. Mark Steven Dworsky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11200 Lakeline Drive, Suite H-5, Cedar Park, TX 78613 Phone: 512-257-7070 | |
Dennis Roland Mccarty, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 N Lakeline Blvd, Suite 100, Cedar Park, TX 78613 Phone: 512-249-0808 Fax: 512-249-0828 | |
Eyes Of Cedar Park Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1101 C-bar Ranch Trl Lot 2, Cedar Park, TX 78613 Phone: 512-260-8686 Fax: 512-949-5120 | |
Austin Eye Gym Optometrist Medicare: Not Enrolled in Medicare Practice Location: 930 S Bell Blvd Ste 409, Cedar Park, TX 78613 Phone: 512-219-1700 Fax: 512-237-7357 | |
Dr. Noah Daniel Neiman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 925 Starwood Dr, Cedar Park, TX 78613 Phone: 512-327-7000 Fax: 512-259-3802 |