| Cheyne Eye Center P.a. | |
|
4000 E Us Highway 377, Granbury, TX 76049-7432 | |
| (817) 573-7153 | |
| (817) 573-5640 |
| Full Name | Cheyne Eye Center P.a. |
|---|---|
| Type | Facility |
| Speciality | Eyewear Supplier |
| Location | 4000 E Us Highway 377, Granbury, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821091943 | NPI | - | NPPES |
| 166288401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 332H00000X | Eyewear Supplier | 5017230001 (Texas) | Primary |
| Provider Name | Robert Yeaman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134122260 PECOS PAC ID: 2860305554 Enrollment ID: I20031110000120 |
| Provider Name | Chris D Cheyne |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831192962 PECOS PAC ID: 9931012614 Enrollment ID: I20031110000152 |
| Provider Name | Courtney C Cobbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073518072 PECOS PAC ID: 7911928916 Enrollment ID: I20051216000627 |
| Provider Name | Nicole C Stout |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285019893 PECOS PAC ID: 3577879592 Enrollment ID: I20150915000514 |
| Provider Name | Manuel J Debesa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346354230 PECOS PAC ID: 6002123502 Enrollment ID: I20150916000984 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheyne Eye Center P.a. 4000 E Us Highway 377, Granbury, TX 76049-7432 Ph: (817) 573-7153 | Cheyne Eye Center P.a. 4000 E Us Highway 377, Granbury, TX 76049-7432 Ph: (817) 573-7153 |