| Elite Eyecare Of Abilene | |
|
4415 Loop 322, Abilene, TX 79602-8056 | |
| (325) 603-2020 | |
| (325) 690-0175 |
| Full Name | Elite Eyecare Of Abilene |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4415 Loop 322, Abilene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457859142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 8529T (Texas) | Primary |
| Provider Name | Russell Isaac Liles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578971396 PECOS PAC ID: 5991923203 Enrollment ID: I20180314000403 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Eyecare Of Abilene 4415 Loop 322, Abilene, TX 79602-8056 Ph: (325) 603-2020 | Elite Eyecare Of Abilene 4415 Loop 322, Abilene, TX 79602-8056 Ph: (325) 603-2020 |
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