Canadian Eyecare Clinic, P.c. | |
306 Main St Canadian TX 79014-2215 | |
(806) 323-8484 | |
Not Available |
Full Name | Canadian Eyecare Clinic, P.c. |
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Speciality | Clinic/Center |
Location | 306 Main St, Canadian, Texas |
Authorized Official Name and Position | Robert Lusk (OWNER) |
Authorized Official Contact | 8063238484 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Canadian Eyecare Clinic, P.c. 306 Main St Canadian TX 79014-2215 Ph: () - | Canadian Eyecare Clinic, P.c. 306 Main St Canadian TX 79014-2215 Ph: (806) 323-8484 |
NPI Number | 1285645218 |
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Provider Enumeration Date | 08/11/2006 |
Last Update Date | 03/22/2011 |
Medicare PECOS PAC ID | 9830164441 |
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Medicare Enrollment ID | O20040827000576 |
Identifier | Type | State | Issuer |
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1285645218 | NPI | - | NPPES |
143542201 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 4674T (Texas) | Primary |
261Q00000X | Clinic/center | 2073 (Oklahoma) | Secondary |
Provider Name | Robert G Lusk |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902817927 PECOS PAC ID: 3072588680 Enrollment ID: I20140521000226 |
Canadian Family Physicians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1010 S 4th St, Canadian, TX 79014 Phone: 806-323-8882 | |
Derm Nuvo Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Main St, Canadian, TX 79014 Phone: 806-323-8365 |