Valley Ranch Family Eye Care Pllc | |
820 S Macarthur Blvd Ste 135, Coppell, TX 75019-4221 | |
(817) 713-8331 | |
Not Available |
Full Name | Valley Ranch Family Eye Care Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 820 S Macarthur Blvd Ste 135, Coppell, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124727664 | NPI | - | NPPES |
9326-TG | Other | TX | OPTOMETRY LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Ibrahim S Qattan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225531676 PECOS PAC ID: 1153739255 Enrollment ID: I20210408001972 |
Mailing Address | Practice Location Address |
---|---|
Valley Ranch Family Eye Care Pllc 1918 Hidden Trail Dr, Lewisville, TX 75067-5539 Ph: () - | Valley Ranch Family Eye Care Pllc 820 S Macarthur Blvd Ste 135, Coppell, TX 75019-4221 Ph: (817) 713-8331 |
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