| Omar Mohammed Moinuddin, MD | |
|
305 Morrison Park Dr Ste 100, Southlake, TX 76092-1352 | |
| (817) 865-6800 | |
| (817) 865-6790 |
| Full Name | Omar Mohammed Moinuddin |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 305 Morrison Park Dr Ste 100, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477114296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 4351044807 (Michigan) | Secondary |
| 207W00000X | Ophthalmology | V8695 (Texas) | Secondary |
| 207W00000X | Ophthalmology | 4301509019 (Michigan) | Primary |
| Entity Name | Associated Retinal Consultants Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215003793 PECOS PAC ID: 2264344746 Enrollment ID: O20031104000176 |
| Entity Name | Beaumont Medical Group- Specialty Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
| Mailing Address | Practice Location Address |
|---|---|
| Omar Mohammed Moinuddin, MD 305 Morrison Park Dr Ste 100, Southlake, TX 76092-1352 Ph: (817) 865-6800 | Omar Mohammed Moinuddin, MD 305 Morrison Park Dr Ste 100, Southlake, TX 76092-1352 Ph: (817) 865-6800 |
Dr. Robert A Lyons, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1980 E State Highway 114, Southlake, TX 76092 Phone: 817-329-2700 | |
Musa R Abdelaziz, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 305 Morrison Park Dr Ste 100, Southlake, TX 76092 Phone: 817-865-6800 Fax: 817-865-6790 | |
Luv Patel, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 305 Morrison Park Dr Ste 100, Southlake, TX 76092 Phone: 817-865-6800 | |
Dr. Martin Hellmuth Reinke, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1310 N White Chapel Blvd, Southlake, TX 76092 Phone: 817-310-6080 Fax: 817-310-6014 | |
Jawad Ahmad Qureshi, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 305 Morrison Park Dr Ste 100, Southlake, TX 76092 Phone: 817-865-6800 | |
Margaret Mcdougal Runner, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 305 Morrison Park Dr Ste 100, Southlake, TX 76092 Phone: 817-865-6800 Fax: 817-865-6790 |