| Dallas Eye Care Assocaites | |
|
5494 Glen Lakes Dr Dallas TX 75231-4308 | |
| (214) 692-6220 | |
| (214) 696-1579 |
| Full Name | Dallas Eye Care Assocaites |
|---|---|
| Speciality | Clinic/Center |
| Location | 5494 Glen Lakes Dr, Dallas, Texas |
| Authorized Official Name and Position | Christian Ellison (CEO) |
| Authorized Official Contact | 7202737449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Eye Care Assocaites 3900 E Mexico Ave Ste 102 Denver CO 80210-3941 Ph: (303) 800-2078 | Dallas Eye Care Assocaites 5494 Glen Lakes Dr Dallas TX 75231-4308 Ph: (214) 692-6220 |
| NPI Number | 1134171259 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/20/2020 |
| Medicare PECOS PAC ID | 7113911108 |
|---|---|
| Medicare Enrollment ID | O20040413000344 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134171259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Mark R Jaffe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841271160 PECOS PAC ID: 4880507813 Enrollment ID: I20031222000174 |
| Provider Name | Kelly J Frasier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609894773 PECOS PAC ID: 5092712737 Enrollment ID: I20061023000249 |
| Provider Name | Michael R James |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922151133 PECOS PAC ID: 9931205150 Enrollment ID: I20070504000397 |
| Provider Name | Sai H Chavala |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548391311 PECOS PAC ID: 2860583499 Enrollment ID: I20150223001442 |
| Provider Name | Nadia A Virani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821479890 PECOS PAC ID: 4688980394 Enrollment ID: I20150826000533 |
| Provider Name | Kyle A Reuter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407209877 PECOS PAC ID: 3779870860 Enrollment ID: I20160916001077 |
| Provider Name | Angeline Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386121168 PECOS PAC ID: 7810246543 Enrollment ID: I20180814001352 |
| Provider Name | Boi-dieu Hoang Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700362480 PECOS PAC ID: 9133478175 Enrollment ID: I20180823002614 |
| Provider Name | Moulaye Ahmed Haidara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942647722 PECOS PAC ID: 4486952694 Enrollment ID: I20180830002152 |
| Provider Name | Matthew D Hildebrand |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932677101 PECOS PAC ID: 6204170798 Enrollment ID: I20181211001346 |
| Provider Name | Ashish Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669859328 PECOS PAC ID: 1759620552 Enrollment ID: I20190221002273 |
| Provider Name | Chinazo Crystal Ehie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093363384 PECOS PAC ID: 0042542284 Enrollment ID: I20191021003550 |
| Provider Name | Sahmon Chinichian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255696241 PECOS PAC ID: 9537453238 Enrollment ID: I20200406001036 |
| Provider Name | Amanda Raye Chamberlin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245887975 PECOS PAC ID: 4789003864 Enrollment ID: I20200923003282 |
| Provider Name | Darren Duy Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235779885 PECOS PAC ID: 2668885138 Enrollment ID: I20201231000533 |
Perry K. Beckstrom, Do Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3946 S Buckner Blvd Ste 200, Dallas, TX 75227 Phone: 214-381-7194 Fax: 214-381-7195 | |
John A. Demopulos, M.d., P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln Ste B216, Dallas, TX 75230 Phone: 972-566-8380 | |
North Dallas Orthopedics & Rehabilitation, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, C-500, Dallas, TX 75230 Phone: 972-566-6366 Fax: 972-392-2011 | |
Oakcliff Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 817 W Jefferson Blvd, Dallas, TX 75208 Phone: 214-941-5777 Fax: 214-941-5131 | |
Premier Medical Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8300 Douglas Ave Suite 800, Dallas, TX 75225 Phone: 817-381-6813 | |
Metroplex Geriatric Associates Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9229 Lyndon B Johnson Fwy, Suite 250, Dallas, TX 75243 Phone: 972-739-3097 Fax: 972-739-2673 | |
Family Practice House Calls Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11882 Greenville Ave, Suite B100, Dallas, TX 75243 Phone: 214-865-7331 Fax: 855-237-5132 |