Los Fresnos Eye Clinic & Optical Inc. | |
810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 | |
(956) 233-5252 | |
(956) 233-6430 |
Full Name | Los Fresnos Eye Clinic & Optical Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 810 W Ocean Blvd Ste C2, Los Fresnos, 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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1215115118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 6913TG (Texas) | Primary |
Provider Name | Antonio Vasquez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194746834 PECOS PAC ID: 5294732566 Enrollment ID: I20061030000221 |
Provider Name | Keith Tully |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1033591821 PECOS PAC ID: 0749595387 Enrollment ID: I20150812006401 |
Mailing Address | Practice Location Address |
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Los Fresnos Eye Clinic & Optical Inc. 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 Ph: (956) 233-5252 | Los Fresnos Eye Clinic & Optical Inc. 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 Ph: (956) 233-5252 |
Dr. Keith L Tully, OD Optometrist Medicare: Medicare Enrolled Practice Location: 810 W Ocean Blvd, Suite C2, Los Fresnos, TX 78566 Phone: 956-233-5252 Fax: 956-233-6430 | |
Dr. Antonio Vasquez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566 Phone: 956-233-5252 |