Othniel Stanberry, OD | |
2440 W Loop 340 Ste A7, Waco, TX 76711-2427 | |
(254) 633-4151 | |
Not Available |
Full Name | Othniel Stanberry |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2440 W Loop 340 Ste A7, Waco, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720590102 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9319T (Texas) | Primary |
Provider Name | Rcp Eyecare, Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821578030 PECOS PAC ID: 9234474172 Enrollment ID: O20181220001033 |
Mailing Address | Practice Location Address |
---|---|
Othniel Stanberry, OD 11501 Braesview Apt 104, San Antonio, TX 78213-1282 Ph: () - | Othniel Stanberry, OD 2440 W Loop 340 Ste A7, Waco, TX 76711-2427 Ph: (254) 633-4151 |
Dr. Terry L Bolen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Hewitt Dr, Waco, TX 76712 Phone: 254-339-1000 | |
Stacie L. Virden, O.d. P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 W State Highway 6, Suite 210, Waco, TX 76712 Phone: 254-776-8119 Fax: 254-776-1511 | |
Green Eye Associates, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 816 Lake Air Dr, Waco, TX 76710 Phone: 254-752-0471 | |
Dr. Erika Marie Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Drive, Building 91/eye Clinic, Waco, TX 76711 Phone: 254-297-3000 Fax: 254-297-3710 | |
Emily Ngoc Nguyen, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 254-752-6581 | |
Dr. Terry L. Bolen, Optometrist, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Hewitt Dr, Waco, TX 76712 Phone: 254-339-1000 | |
Victoria Pham, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4800 Memorial Dr, Waco, TX 76711 Phone: 713-575-7085 |