| Dipa Kodukula, OD | |
|
3419 El Salido Pkwy, Ste 100, Cedar Park, TX 78613-5639 | |
| (512) 918-3937 | |
| (512) 918-2028 |
| Full Name | Dipa Kodukula |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 21 Years |
| Location | 3419 El Salido Pkwy, Cedar Park, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730163494 | NPI | - | NPPES |
| 6753TG | Other | TX | OPTOMETRY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6753TG (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lakeline Vision, P.c. | 0244227486 | 10 |
| Provider Name | Lakeline Vision, P.C. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265489777 PECOS PAC ID: 0244227486 Enrollment ID: O20040428001473 |
| Mailing Address | Practice Location Address |
|---|---|
| Dipa Kodukula, OD 3419 El Salido Pkwy Ste 100, Cedar Park, TX 78613-5639 Ph: (512) 918-3937 | Dipa Kodukula, OD 3419 El Salido Pkwy, Ste 100, Cedar Park, TX 78613-5639 Ph: (512) 918-3937 |
Dr. Peter Hyun Pak, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11200 Lakeline Mall Dr, Cedar Park, TX 78613 Phone: 512-698-8112 |
Kiannah Nicole Lagunas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3419 El Salido Pkwy Ste 100, Cedar Park, TX 78613 Phone: 512-918-3937 Fax: 512-918-2028 |
Dr. Shreshth Kakkar, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11066 Pecan Park Blvd Ste 510, Cedar Park, TX 78613 Phone: 512-516-8898 |
Dr. Mark Steven Dworsky, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 11200 Lakeline Drive, Suite H-5, Cedar Park, TX 78613 Phone: 512-257-7070 |
Dennis Roland Mccarty, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 210 N Lakeline Blvd, Suite 100, Cedar Park, TX 78613 Phone: 512-249-0808 Fax: 512-249-0828 |
Eyes Of Cedar Park Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1101 C-bar Ranch Trl Lot 2, Cedar Park, TX 78613 Phone: 512-260-8686 Fax: 512-949-5120 |
Austin Eye Gym Optometrist Medicare: Not Enrolled in Medicare Practice Location: 930 S Bell Blvd Ste 409, Cedar Park, TX 78613 Phone: 512-219-1700 Fax: 512-237-7357 |