| Sonie Family Eyecare Pllc | |
|
4801 S Cooper St Arlington TX 76017-5928 | |
| (817) 419-9999 | |
| (817) 375-1712 |
| Full Name | Sonie Family Eyecare Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4801 S Cooper St, Arlington, Texas |
| Authorized Official Name and Position | Evelyn Okah Ayidu-omo (OWNER) |
| Authorized Official Contact | 8174199999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sonie Family Eyecare Pllc 4801 S Cooper St Arlington TX 76017-5928 Ph: (817) 419-9999 | Sonie Family Eyecare Pllc 4801 S Cooper St Arlington TX 76017-5928 Ph: (817) 419-9999 |
| NPI Number | 1407096985 |
|---|---|
| Provider Enumeration Date | 02/24/2009 |
| Last Update Date | 02/24/2009 |
| Medicare PECOS PAC ID | 6507910114 |
|---|---|
| Medicare Enrollment ID | O20090817000633 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407096985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 6385TG (Texas) | Primary |
| Provider Name | Evelyn O Ayidu Omo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437263647 PECOS PAC ID: 2668421975 Enrollment ID: I20050113000576 |
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