Texas State Optical | |
310 Early Blvd, Early, TX 76802-2120 | |
(325) 643-1826 | |
(325) 646-3992 |
Full Name | Texas State Optical |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 310 Early Blvd, Early, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1063596849 | NPI | - | NPPES |
0192965-01 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Ikaehota Nyowheoma |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1417975368 PECOS PAC ID: 9931159746 Enrollment ID: I20050129000112 |
Provider Name | Rickey Harton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609861129 PECOS PAC ID: 6507881117 Enrollment ID: I20071011000147 |
Provider Name | Saadi Darvish |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20111021000321 |
Provider Name | Ozhan Jafri |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073869434 PECOS PAC ID: 9739337866 Enrollment ID: I20120914000695 |
Provider Name | Cassandra Lappegaard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20160316001100 |
Provider Name | John Stuart |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1841755212 PECOS PAC ID: 7315280252 Enrollment ID: I20190516002742 |
Provider Name | Ya Chun Lin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1083274740 PECOS PAC ID: 7315370293 Enrollment ID: I20191206001550 |
Provider Name | Amira Yamamoto |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104335801 PECOS PAC ID: 9234492364 Enrollment ID: I20200413002448 |
Provider Name | Emilia Runey |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679115935 PECOS PAC ID: 7517389539 Enrollment ID: I20200622000832 |
Provider Name | Iqra Quddus |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1821582818 PECOS PAC ID: 0749539450 Enrollment ID: I20210202000194 |
Provider Name | Luqman Patel |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1831663640 PECOS PAC ID: 7810305448 Enrollment ID: I20210421000801 |
Provider Name | Van-anh Huynh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1770036212 PECOS PAC ID: 4688072622 Enrollment ID: I20211214003154 |
Provider Name | Swati Kumar |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922583665 PECOS PAC ID: 1153675541 Enrollment ID: I20220224000009 |
Provider Name | Thuy Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811517899 PECOS PAC ID: 9537567003 Enrollment ID: I20221007002239 |
Provider Name | Prarthana Agrawal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013355288 PECOS PAC ID: 6103104195 Enrollment ID: I20221110000126 |
Provider Name | Mehwish Ali |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548736754 PECOS PAC ID: 5092169573 Enrollment ID: I20231004001188 |
Provider Name | Yvonne Lee |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1144217035 PECOS PAC ID: 3678535978 Enrollment ID: I20231022000078 |
Provider Name | Ramal Yaqoob |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104609379 PECOS PAC ID: 4688020563 Enrollment ID: I20231030000570 |
Provider Name | Tommy Chin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386209427 PECOS PAC ID: 6901228808 Enrollment ID: I20240422003211 |
Provider Name | Sidra Ahmad |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366115206 PECOS PAC ID: 7911303888 Enrollment ID: I20240507001543 |
Mailing Address | Practice Location Address |
---|---|
Texas State Optical 310 Early Blvd, Early, TX 76802-2120 Ph: (325) 643-1826 | Texas State Optical 310 Early Blvd, Early, TX 76802-2120 Ph: (325) 643-1826 |
Dr. Stanley Wayne Cavett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 Early Blvd, Early, TX 76802 Phone: 325-646-7996 Fax: 325-646-3992 | |
Dr. Melinda D Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 Early Blvd, Early, TX 76802 Phone: 325-643-1826 |