Willis Family Eyecare | |
12709 Interstate 45 N, Suite 500, Willis, TX 77318-7023 | |
(936) 856-9400 | |
(936) 856-9439 |
Full Name | Willis Family Eyecare |
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Type | Facility |
Speciality | Optometrist |
Location | 12709 Interstate 45 N, Willis, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952655649 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 7372TG (Texas) | Primary |
Provider Name | Thanhloan Richter |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194912204 PECOS PAC ID: 0345223491 Enrollment ID: I20040609001387 |
Provider Name | Kathryn K Clair |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063662716 PECOS PAC ID: 0547392375 Enrollment ID: I20100714000805 |
Provider Name | Angela Doreck |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1801120043 PECOS PAC ID: 4880858521 Enrollment ID: I20120611000097 |
Mailing Address | Practice Location Address |
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Willis Family Eyecare 12709 Interstate 45 N, Suite 500, Willis, TX 77318-7023 Ph: (936) 856-9400 | Willis Family Eyecare 12709 Interstate 45 N, Suite 500, Willis, TX 77318-7023 Ph: (936) 856-9400 |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 12318 Interstate 45 North, Willis, TX 77378 Phone: 936-272-6203 |