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825 E Southmore Ave, Pasadena, TX 77502-1117 | |
| (713) 473-2020 | |
| Not Available |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 825 E Southmore Ave, Pasadena, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164491544 | NPI | - | NPPES |
| 1572786-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
1250 Uvalde Rd, Houston, TX 77015-3708 Ph: () - | 825 E Southmore Ave, Pasadena, TX 77502-1117 Ph: (713) 473-2020 |
Shelby Wilkes, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1008 Southmore Ave Ste 120, Pasadena, TX 77502 Phone: 713-821-3091 | |
Tia Newsom Budde, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5125 Fairmont Pkwy, Pasadena, TX 77505 Phone: 713-477-6929 Fax: 281-598-6475 | |
Dr. Kristan L Gibson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3333 Bayshore Blvd, Suite 280, Pasadena, TX 77504 Phone: 713-943-8671 Fax: 713-943-1657 | |
Hong Kim Thi Bui, OD Optometrist Medicare: Medicare Enrolled Practice Location: 201 Pasadena Town Square Mall, Pasadena, TX 77506 Phone: 713-472-7392 Fax: 713-472-2450 | |