| Dr Kenneth Cudjoe Dzubey, OD | |
|
5959 Gateway Blvd W, Ste 244, El Paso, TX 79925-3316 | |
| (915) 779-0676 | |
| (915) 779-2534 |
| Full Name | Dr Kenneth Cudjoe Dzubey |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 5959 Gateway Blvd W, El Paso, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730172206 | NPI | - | NPPES |
| 121652504 | Medicaid | TX | |
| 121652501 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3627TG (Texas) | Primary |
| Provider Name | Kenneth C Dzubey Od Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962609685 PECOS PAC ID: 5193956803 Enrollment ID: O20140321001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kenneth Cudjoe Dzubey, OD Po Box 12211, El Paso, TX 79913-0211 Ph: (915) 779-0676 | Dr Kenneth Cudjoe Dzubey, OD 5959 Gateway Blvd W, Ste 244, El Paso, TX 79925-3316 Ph: (915) 779-0676 |
Dr. Dillon Lee Boynton, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8080 Gateway Blvd E, El Paso, TX 79907 Phone: 915-592-1011 | |
Carmona Eye Care Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11360 Pellicano Dr, El Paso, TX 79936 Phone: 915-775-2020 Fax: 915-590-6224 | |
Dr. Nancy Ann Semko, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10415 Gateway Blvd W, El Paso, TX 79925 Phone: 915-592-6885 | |
Dr's Reiter & Pinedo Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 N Mesa St, El Paso, TX 79901 Phone: 915-544-9090 | |
Sun City Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 750 Sunland Park Dr, G1, El Paso, TX 79912 Phone: 915-585-1949 Fax: 915-581-3613 | |
Dr. Vinson E Nance, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 11365 Montwood Dr, Suite D, El Paso, TX 79936 Phone: 915-857-3997 Fax: 915-857-1203 | |
Dr. Hosna S Rastegary, Optometrist Medicare: Medicare Enrolled Practice Location: 5920 Cromo Dr, El Paso, TX 79912 Phone: 915-545-2010 |