| 20/20 Icare Tyler Pllc | |
|
4824 S Broadway Ave, Tyler, TX 75703-1312 | |
| (903) 581-2020 | |
| Not Available |
| Full Name | 20/20 Icare Tyler Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4824 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073240271 | NPI | - | NPPES |
| 8143TG | Other | TX | TEXAS OPTOMETRY BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Long Thanh Do |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154763340 PECOS PAC ID: 9537398268 Enrollment ID: I20140129001153 |
| Provider Name | Lou Henry Martinez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447825914 PECOS PAC ID: 6305213950 Enrollment ID: I20221110001907 |
| Mailing Address | Practice Location Address |
|---|---|
| 20/20 Icare Tyler Pllc 5836 Sunny Meadow Ln, Grand Prairie, TX 75052-8782 Ph: () - | 20/20 Icare Tyler Pllc 4824 S Broadway Ave, Tyler, TX 75703-1312 Ph: (903) 581-2020 |
Bryan E Frazier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5791 New Copeland Rd, Tyler, TX 75703 Phone: 903-339-3035 Fax: 903-339-3036 | |
Dr. David Michael Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2756 S Broadway Ave, Tyler, TX 75701 Phone: 903-593-2345 Fax: 903-593-4646 | |
Piney Woods Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Southwest Loop 323, Tyler, TX 75701 Phone: 480-375-8908 | |
Vision Source Of Tyler Optometrist Medicare: Medicare Enrolled Practice Location: 136 Shelley Drive, Tyler, TX 75701 Phone: 903-561-8686 Fax: 903-581-1518 | |
Dr. Andrew Eric Hamilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4826 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-6995 | |
Dat Ly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7924 S Broadway Ave, Ste 200, Tyler, TX 75703 Phone: 903-617-6864 Fax: 903-504-5758 |