Mr Elvin W Fenton, OD | |
751 Mid Cities Blvd, Hurst, TX 76054-2748 | |
(817) 656-2020 | |
(817) 656-5908 |
Full Name | Mr Elvin W Fenton |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 751 Mid Cities Blvd, Hurst, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215920442 | NPI | - | NPPES |
0193336-01 | Medicaid | TX | |
134244722 | Medicaid | AR | |
97883 | Other | AR | AR BCBS PROVIDER NUMBER |
83324E | Other | TX | BCBS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 5241 (Texas) | Primary |
Provider Name | Med Southwest Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1609348739 PECOS PAC ID: 4082952874 Enrollment ID: O20190221001481 |
Mailing Address | Practice Location Address |
---|---|
Mr Elvin W Fenton, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: () - | Mr Elvin W Fenton, OD 751 Mid Cities Blvd, Hurst, TX 76054-2748 Ph: (817) 656-2020 |
Dr John Nguyen Od And Associates Optometrist Medicare: Medicare Enrolled Practice Location: 1732 Precinct Line Rd, Hurst, TX 76054 Phone: 817-576-4419 Fax: 817-576-4632 | |
Dr. Stephen Wayne Ference, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1101 Melbourne No East Mall, Suite 5060, Hurst, TX 76053 Phone: 817-590-2022 Fax: 817-595-0366 | |
Dr. Helen Bui Orth, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1629 Precinct Line Rd, Hurst, TX 76054 Phone: 817-656-7222 Fax: 817-656-2822 | |
Viren Choksi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 751 Mid Cities Blvd, Hurst, TX 76054 Phone: 817-656-2020 Fax: 817-656-5908 | |
First Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 751 Mid Cities Blvd Ste A, Hurst, TX 76054 Phone: 817-656-2020 Fax: 817-656-5908 | |
Michael Keith Head, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1872 Norwood Dr, Ste 200, Hurst, TX 76054 Phone: 817-540-6060 Fax: 817-553-7994 |