| Specialeyes Optical, Llc | |
|
105 River Oakes Dr., Southlake, TX 76092 | |
| (817) 529-9949 | |
| (817) 529-9943 |
| Full Name | Specialeyes Optical, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 River Oakes Dr., Southlake, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679028542 | NPI | - | NPPES |
| 018440004 | Medicaid | TX | |
| 145291402 | Medicaid | TX | |
| 287401803 | Medicaid | TX | |
| 166926901 | Medicaid | TX | |
| 323588905 | Medicaid | TX | |
| 294486001 | Medicaid | TX | |
| 207716601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7350TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Specialeyes Optical, Llc 321 S Henderson St, Fort Worth, TX 76104-1016 Ph: (817) 529-9949 | Specialeyes Optical, Llc 105 River Oakes Dr., Southlake, TX 76092 Ph: (817) 529-9949 |
Christina M Poignard, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Southlake Blvd Ste 331, Southlake, TX 76092 Phone: 817-663-1770 | |
Tami Lea Hannaman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3004 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-2015 Fax: 817-749-2015 | |
Karen Liu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1980 E. State Highway 114, Southlake, TX 76092 Phone: 817-329-2700 | |
Lilit Saakova, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1251 E Southlake Blvd Ste 333, Southlake, TX 76092 Phone: 817-310-0289 | |
Southlake Vision Group Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3004 E Southlake Blvd, Southlake, TX 76092 Phone: 682-554-2079 | |
Sophia Malani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277 | |
Dr. Marcus Aaron Whatley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277 |