| Fant Eye Care | |
|
2901 Richmond Rd Texarkana TX 75503-2125 | |
| (903) 831-5706 | |
| (903) 832-4506 |
| Full Name | Fant Eye Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 2901 Richmond Rd, Texarkana, Texas |
| Authorized Official Name and Position | Juan Evenor Galdamez (OPTOMETRIST/OWNER) |
| Authorized Official Contact | 4064391155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fant Eye Care 2901 Richmond Rd Texarkana TX 75503-2125 Ph: (903) 831-5706 | Fant Eye Care 2901 Richmond Rd Texarkana TX 75503-2125 Ph: (903) 831-5706 |
| NPI Number | 1306194519 |
|---|---|
| Provider Enumeration Date | 08/17/2012 |
| Last Update Date | 08/17/2012 |
| Medicare PECOS PAC ID | 0143471615 |
|---|---|
| Medicare Enrollment ID | O20121109000026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306194519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (Texas) | Primary |
| Provider Name | Juan Evenor Galdamez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467644229 PECOS PAC ID: 9537259874 Enrollment ID: I20121109000024 |
| Provider Name | Lara E May |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154498210 PECOS PAC ID: 2466679535 Enrollment ID: I20180125001037 |
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