Tristan L Wild Od Pllc | |
1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246 | |
(512) 263-9970 | |
(512) 895-9903 |
Full Name | Tristan L Wild Od Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1700 Ranch Road 620 S Ste A, Lakeway, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548917172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Nancy A Stehlik Amador |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1487766424 PECOS PAC ID: 0648221093 Enrollment ID: I20050203000188 |
Provider Name | Tristan L Wild |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164656716 PECOS PAC ID: 9830236280 Enrollment ID: I20091016000553 |
Mailing Address | Practice Location Address |
---|---|
Tristan L Wild Od Pllc 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246 Ph: (512) 263-9970 | Tristan L Wild Od Pllc 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734-6246 Ph: (512) 263-9970 |
Lakeway Vision Associates P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 1700a Rr 620 S # A, Lakeway, TX 78734 Phone: 512-263-9970 | |
Dr. Tristan Leigh Wild, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 Ranch Road 620 S, #a, Lakeway, TX 78734 Phone: 512-263-9970 | |
Waleed M El-hitamy, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 900 Ranch Road 620 S, B112, Lakeway, TX 78734 Phone: 512-263-0225 Fax: 512-263-8590 | |
Dr. Nancy Ann Stehlik-amador, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1700 Ranch Road 620 S Ste A, Lakeway, TX 78734 Phone: 512-263-9970 Fax: 512-263-9954 | |
Lakeway Eye Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 900 Ranch Road 620 S, Ste B112, Lakeway, TX 78734 Phone: 512-263-0225 Fax: 512-263-8590 |