Texan Eye, Pa | |
5717 Balcones Dr, Austin, TX 78731 | |
(512) 327-7000 | |
(512) 314-1660 |
Full Name | Texan Eye, Pa |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 5717 Balcones Dr, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205813961 | NPI | - | NPPES |
083126501 | Medicaid | TX | |
085744301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | G3889 (Texas) | Secondary |
Provider Name | Kristin A Sargent |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508841644 PECOS PAC ID: 9830172980 Enrollment ID: I20040609001433 |
Provider Name | Yen D Nieman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295825784 PECOS PAC ID: 0446222483 Enrollment ID: I20070205000129 |
Provider Name | Bridgette Donyelle Fuller |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528025582 PECOS PAC ID: 2163495276 Enrollment ID: I20090302000390 |
Provider Name | Isaac A Loose |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821075664 PECOS PAC ID: 9133268956 Enrollment ID: I20091207000719 |
Provider Name | Jeffery R Lane |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1285619932 PECOS PAC ID: 5597804294 Enrollment ID: I20091208000772 |
Provider Name | Douglas E Lewis |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1225013980 PECOS PAC ID: 9133268832 Enrollment ID: I20091208000778 |
Provider Name | Robin K Watson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083699748 PECOS PAC ID: 8022159441 Enrollment ID: I20100107000551 |
Provider Name | Theresa E Wagner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912984857 PECOS PAC ID: 5193866226 Enrollment ID: I20100111000683 |
Provider Name | Thomas R Walters |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609852664 PECOS PAC ID: 6103809751 Enrollment ID: I20100112000626 |
Provider Name | Cecilia R Sanchez |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376616011 PECOS PAC ID: 4688869795 Enrollment ID: I20101115001308 |
Provider Name | Pooja Godara |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1780998146 PECOS PAC ID: 0840431219 Enrollment ID: I20160713000593 |
Provider Name | Amenze A Oriaifo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629496641 PECOS PAC ID: 4880916634 Enrollment ID: I20180711001096 |
Provider Name | Clifford Jack Goodrich |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1154703676 PECOS PAC ID: 7416281209 Enrollment ID: I20190627003087 |
Provider Name | Rebekah Young |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558578559 PECOS PAC ID: 6103085386 Enrollment ID: I20200403000230 |
Provider Name | Kyla Renee Aschenbeck |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1982091674 PECOS PAC ID: 9830482199 Enrollment ID: I20200625001187 |
Provider Name | Angeline Falls Derham |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255795217 PECOS PAC ID: 2062757388 Enrollment ID: I20200901001311 |
Provider Name | Luke Jimmy Zhu |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1568925139 PECOS PAC ID: 5890021992 Enrollment ID: I20230705002981 |
Provider Name | Ricardo Salinas |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710447214 PECOS PAC ID: 6406213115 Enrollment ID: I20230927004288 |
Mailing Address | Practice Location Address |
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Texan Eye, Pa 5717 Balcones Dr, Austin, TX 78731-4203 Ph: (512) 327-7000 | Texan Eye, Pa 5717 Balcones Dr, Austin, TX 78731 Ph: (512) 327-7000 |