Zachary James Faust, OD | |
2112 E Main St, Uvalde, TX 78801 | |
(830) 278-2565 | |
(830) 278-3718 |
Full Name | Zachary James Faust |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2112 E Main St, Uvalde, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407340607 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 9519T (Texas) | Primary |
Provider Name | Bluebonnet Eye Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1285369975 PECOS PAC ID: 1052794401 Enrollment ID: O20220817001679 |
Mailing Address | Practice Location Address |
---|---|
Zachary James Faust, OD 10115 Roseangel Ln, Helotes, TX 78023-3765 Ph: (479) 790-5348 | Zachary James Faust, OD 2112 E Main St, Uvalde, TX 78801 Ph: (830) 278-2565 |
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