Tso Of Beaumont,llp | |
138 Gateway St, Beaumont, TX 77701-3706 | |
(409) 835-2041 | |
(409) 838-4518 |
Full Name | Tso Of Beaumont,llp |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 138 Gateway St, Beaumont, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174564280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 05101TG (Texas) | Primary |
Provider Name | Wendy L Broussard |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124210547 PECOS PAC ID: 7618906603 Enrollment ID: I20050810000636 |
Provider Name | Matthew Phan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1073993606 PECOS PAC ID: 1759671829 Enrollment ID: I20160601001856 |
Mailing Address | Practice Location Address |
---|---|
Tso Of Beaumont,llp 138 Gateway St, Beaumont, TX 77701-3706 Ph: (409) 835-2041 | Tso Of Beaumont,llp 138 Gateway St, Beaumont, TX 77701-3706 Ph: (409) 835-2041 |
Matthew Phan, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 138 Gateway St, Beaumont, TX 77701 Phone: 409-835-2041 | |
Joshua Bryan Rhodes, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4105 Dowlen Rd Ste B, Beaumont, TX 77706 Phone: 409-899-9999 | |
Dr. Alan Ray Rising Sr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6420b Eastex Fwy, Beaumont, TX 77708 Phone: 409-899-5340 Fax: 409-899-3530 | |
Dr. Wendy L Broussard, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 138 Gateway St, Beaumont, TX 77701 Phone: 409-835-2041 Fax: 409-838-4518 | |
Dr. Mary Delino, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 10815 Bowers Dr, Beaumont, TX 77705 Phone: 409-794-9590 Fax: 409-794-9590 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4159 Dowlen Rd, Beaumont, TX 77706 Phone: 409-899-4449 Fax: 409-889-1136 |