Kleiman Evangelista Eye Centers Of Texas | |
350 E Interstate 20 Arlington TX 76018 | |
(817) 784-0222 | |
(817) 717-6374 |
Full Name | Kleiman Evangelista Eye Centers Of Texas |
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Speciality | Clinic/Center |
Location | 350 E Interstate 20, Arlington, 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 |
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Kleiman Evangelista Eye Centers Of Texas 3900 E Mexico Ave Ste 102 Denver CO 80210-3941 Ph: (303) 800-2078 | Kleiman Evangelista Eye Centers Of Texas 350 E Interstate 20 Arlington TX 76018 Ph: (817) 784-0222 |
NPI Number | 1639276843 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/20/2020 |
Medicare PECOS PAC ID | 2668379876 |
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Medicare Enrollment ID | O20031216000677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639276843 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Kelly J Frasier |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609894773 PECOS PAC ID: 5092712737 Enrollment ID: I20061023000249 |
Provider Name | Michael R James |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922151133 PECOS PAC ID: 9931205150 Enrollment ID: I20070504000397 |
Provider Name | Mark J Glanzer |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336121003 PECOS PAC ID: 2062554413 Enrollment ID: I20100122000330 |
Provider Name | Michael A Minadeo |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356323489 PECOS PAC ID: 6103904404 Enrollment ID: I20120321000219 |
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 |
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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 | Moulaye Ahmed Haidara |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1942647722 PECOS PAC ID: 4486952694 Enrollment ID: I20180830002152 |
Provider Name | Matthew D Hildebrand |
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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 | Yusra Siddiqui |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1639513211 PECOS PAC ID: 7517226277 Enrollment ID: I20190903000455 |
Provider Name | Sahmon Chinichian |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255696241 PECOS PAC ID: 9537453238 Enrollment ID: I20200406001036 |
Provider Name | Alisa Khurgin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1750907150 PECOS PAC ID: 1951727197 Enrollment ID: I20200818002506 |
Provider Name | Amanda Raye Chamberlin |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1245887975 PECOS PAC ID: 4789003864 Enrollment ID: I20200923003282 |
Provider Name | Darren Duy Pham |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1235779885 PECOS PAC ID: 2668885138 Enrollment ID: I20201231000533 |
Provider Name | Adriane Elizabeth Schiano |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033565429 PECOS PAC ID: 6507260304 Enrollment ID: I20210802000260 |
Provider Name | Wamika Kumar |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1730700303 PECOS PAC ID: 3476979261 Enrollment ID: I20210818000010 |
Provider Name | Diana Tran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780259325 PECOS PAC ID: 6204226244 Enrollment ID: I20211206001077 |
Provider Name | Kevin Bubel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649665241 PECOS PAC ID: 3779899851 Enrollment ID: I20220628001147 |
Provider Name | Roxanne R Lee |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386140556 PECOS PAC ID: 5890031181 Enrollment ID: I20220822001939 |
Provider Name | Adell Ann Elizabeth Walters |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1679143606 PECOS PAC ID: 3577948421 Enrollment ID: I20220914000687 |
Provider Name | Shehzad Yusuf Batliwala |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1174054860 PECOS PAC ID: 1052661766 Enrollment ID: I20220915002912 |
Provider Name | Joshua Oh |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184390858 PECOS PAC ID: 7810352069 Enrollment ID: I20230424001230 |
Provider Name | Rachel Elizabeth Bush |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1366180051 PECOS PAC ID: 6709247398 Enrollment ID: I20230728002738 |
Provider Name | Nigenda Griffin |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568071207 PECOS PAC ID: 1850718859 Enrollment ID: I20230915000783 |
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