Texas Elite Eye Care Pllc | |
1115 Green Oaks Road Fort Worth TX 76116 | |
(210) 668-2455 | |
Not Available |
Full Name | Texas Elite Eye Care Pllc |
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Speciality | Clinic/Center |
Location | 1115 Green Oaks Road, Fort Worth, Texas |
Authorized Official Name and Position | Eddy Sidra (OWNER) |
Authorized Official Contact | 2106682455 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Elite Eye Care Pllc 1115 Green Oaks Road Fort Worth TX 76116 Ph: (817) 835-7551 | Texas Elite Eye Care Pllc 1115 Green Oaks Road Fort Worth TX 76116 Ph: (210) 668-2455 |
NPI Number | 1952056756 |
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Provider Enumeration Date | 02/21/2022 |
Last Update Date | 02/21/2022 |
Medicare PECOS PAC ID | 1254702624 |
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Medicare Enrollment ID | O20240129003186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952056756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Eddy Sidra |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437792876 PECOS PAC ID: 3274904644 Enrollment ID: I20240129003481 |
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