Arlington Vision Care Pa | |
5425 Matlock Rd Ste 100 Arlington TX 76018-1558 | |
(817) 557-4100 | |
(817) 557-4176 |
Full Name | Arlington Vision Care Pa |
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Speciality | Clinic/Center |
Location | 5425 Matlock Rd Ste 100, Arlington, Texas |
Authorized Official Name and Position | Russell Keith Crosier (PRESIDENT) |
Authorized Official Contact | 8175574100 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Arlington Vision Care Pa 5425 Matlock Rd Ste 100 Arlington TX 76018-1558 Ph: (817) 557-4100 | Arlington Vision Care Pa 5425 Matlock Rd Ste 100 Arlington TX 76018-1558 Ph: (817) 557-4100 |
NPI Number | 1023511235 |
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Provider Enumeration Date | 03/14/2018 |
Last Update Date | 03/14/2018 |
Medicare PECOS PAC ID | 2466716576 |
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Medicare Enrollment ID | O20180425001828 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023511235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 4961TG (Texas) | Primary |
Provider Name | Russell K Crosier |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104919059 PECOS PAC ID: 1456409697 Enrollment ID: I20090428000393 |
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