Manor Vision Pllc | |
11300 Us Highway 290 E Ste 220, Manor, TX 78653-0397 | |
(512) 778-2015 | |
(512) 778-2014 |
Full Name | Manor Vision Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 11300 Us Highway 290 E Ste 220, Manor, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871006965 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Clayton William Rutkowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093295305 PECOS PAC ID: 8729321443 Enrollment ID: I20190521003133 |
Provider Name | Katherine A Straley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932766094 PECOS PAC ID: 4385076181 Enrollment ID: I20191116000205 |
Provider Name | Kim H Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841843802 PECOS PAC ID: 3971936055 Enrollment ID: I20191203002126 |
Provider Name | Tyler Thornton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568813806 PECOS PAC ID: 0547548596 Enrollment ID: I20191227001251 |
Provider Name | Shelvi Shah |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154995546 PECOS PAC ID: 1355741315 Enrollment ID: I20221214000343 |
Mailing Address | Practice Location Address |
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Manor Vision Pllc 11300 Us Highway 290 E Ste 220, Manor, TX 78653-0397 Ph: (512) 778-2015 | Manor Vision Pllc 11300 Us Highway 290 E Ste 220, Manor, TX 78653-0397 Ph: (512) 778-2015 |
Dr. Shelvi Shah, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11300 Us Highway 290 E Ste 220, Manor, TX 78653 Phone: 512-910-3937 |