| Glaucoma Consultants Of Texas | |
|
1602 Lancaster Dr Suite 102 Grapevine TX 76051-3574 | |
| (817) 885-7878 | |
| (817) 885-7444 |
| Full Name | Glaucoma Consultants Of Texas |
|---|---|
| Speciality | Clinic/Center |
| Location | 1602 Lancaster Dr, Grapevine, Texas |
| Authorized Official Name and Position | Barbara A Smythe (PHYSICIAN/CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 8178857878 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Glaucoma Consultants Of Texas 1602 Lancaster Dr Suite 102 Grapevine TX 76051-3574 Ph: (817) 885-7878 | Glaucoma Consultants Of Texas 1602 Lancaster Dr Suite 102 Grapevine TX 76051-3574 Ph: (817) 885-7878 |
| NPI Number | 1386728756 |
|---|---|
| Provider Enumeration Date | 10/24/2006 |
| Last Update Date | 06/30/2021 |
| Medicare PECOS PAC ID | 8325006141 |
|---|---|
| Medicare Enrollment ID | O20041228000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386728756 | NPI | - | NPPES |
| 006MN | Other | TX | BLUE CROSS BLUE SHIELD |
| 1609869692 | Other | TX | NPI - PROVIDER |
| DD4140 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Barbara A Smythe |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609869692 PECOS PAC ID: 0143288969 Enrollment ID: I20041228000047 |
| Provider Name | Sonal H Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306870969 PECOS PAC ID: 2466457122 Enrollment ID: I20061002000421 |
| Provider Name | Varun Reddy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013361484 PECOS PAC ID: 6305137985 Enrollment ID: I20210520001607 |
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