| Balcones Eye Center, Pa | |
|
2430 S Ih 35 Ste 106, San Marcos, TX 78666-5912 | |
| (512) 353-1300 | |
| (512) 353-5135 |
| Full Name | Balcones Eye Center, Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2430 S Ih 35 Ste 106, San Marcos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538270285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Jonathan C Welch |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407024227 PECOS PAC ID: 2466522792 Enrollment ID: I20080529000491 |
| Provider Name | James E Pickett |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1497863112 PECOS PAC ID: 1153235288 Enrollment ID: I20100720000497 |
| Provider Name | Joshua K Hu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942494703 PECOS PAC ID: 3375620735 Enrollment ID: I20101012000845 |
| Provider Name | Kellen Ruth Riccobono |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184116097 PECOS PAC ID: 4385999333 Enrollment ID: I20180615002193 |
| Provider Name | Melissa Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1922198621 PECOS PAC ID: 3870575236 Enrollment ID: I20220103001217 |
| Provider Name | Charles Robert Dale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407586167 PECOS PAC ID: 3173903085 Enrollment ID: I20220709000963 |
| Provider Name | Johnathan Jeffers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841829009 PECOS PAC ID: 0648698613 Enrollment ID: I20240717000592 |
| Provider Name | Christina Banh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366188385 PECOS PAC ID: 3072995398 Enrollment ID: I20250206001230 |
| Mailing Address | Practice Location Address |
|---|---|
| Balcones Eye Center, Pa 2430 S Ih 35 Ste 106, San Marcos, TX 78666-5912 Ph: (512) 353-1300 | Balcones Eye Center, Pa 2430 S Ih 35 Ste 106, San Marcos, TX 78666-5912 Ph: (512) 353-1300 |