Irving Eyecare | |
708 N Macarthur Blvd Irving TX 75061-7355 | |
(972) 254-0033 | |
(972) 254-0055 |
Full Name | Irving Eyecare |
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Speciality | Clinic/Center |
Location | 708 N Macarthur Blvd, Irving, Texas |
Authorized Official Name and Position | Bradley Miles Kardatzke (PRESIDENT OWNER) |
Authorized Official Contact | 9722540033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Irving Eyecare Po Box 153328 Irving TX 75015-3328 Ph: (972) 254-0033 | Irving Eyecare 708 N Macarthur Blvd Irving TX 75061-7355 Ph: (972) 254-0033 |
NPI Number | 1023008687 |
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Provider Enumeration Date | 10/25/2005 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 6305803776 |
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Medicare Enrollment ID | O20041216000989 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023008687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Bradley M Kardatzke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1104816545 PECOS PAC ID: 9931166303 Enrollment ID: I20041216001004 |
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