| Dr John W Shore, MD | |
|
3705 Medical Pkwy, Suite 120, Austin, TX 78705-1019 | |
| (512) 458-2141 | |
| (512) 458-4824 |
| Full Name | Dr John W Shore |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery |
| Location | 3705 Medical Pkwy, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194716035 | NPI | - | NPPES |
| 124724903 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | F2001 (Texas) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | F2001 (Texas) | Primary |
| Entity Name | The University Of Texas At Austin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073066239 PECOS PAC ID: 2668559436 Enrollment ID: O20080408000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John W Shore, MD 3705 Medical Pkwy, Suite 120, Austin, TX 78705-1019 Ph: (512) 458-2141 | Dr John W Shore, MD 3705 Medical Pkwy, Suite 120, Austin, TX 78705-1019 Ph: (512) 458-2141 |
Dr. Kristen Michelle Hawthorne, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2610 S Ih 35, Austin, TX 78704 Phone: 512-443-9715 Fax: 512-443-9845 | |
Saradha Chexal, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy Ste 460, Austin, TX 78705 Phone: 512-454-5851 | |
Dr. John David Fisher, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 2901 Montopolis Dr, Austin, TX 78741 Phone: 512-389-6571 Fax: 512-389-6511 | |
Dr. Clio Armitage Harper Iii, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 801 W 38th St, Suite 200, Austin, TX 78705 Phone: 512-451-0103 Fax: 512-451-2741 | |
Dr. Nadja Ivette Torres, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2610 S Ih 35, Austin, TX 78704 Phone: 512-443-9715 Fax: 512-443-9845 | |
Fuad Makkouk, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 9707 Anderson Mill Rd Ste 230, Austin, TX 78750 Phone: 512-693-9363 | |
Dr. Irina Volosko, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4207 James Casey St Ste 303, Austin, TX 78745 Phone: 415-570-1275 |