| Dr Mark Gonzales Cutler, OD | |
|
541 E Sandy Lake Rd, Coppell, TX 75019-3090 | |
| (972) 393-3937 | |
| Not Available |
| Full Name | Dr Mark Gonzales Cutler |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 541 E Sandy Lake Rd, Coppell, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396724662 | NPI | - | NPPES |
| 9965T | Other | TX | OPTOMETRY LICENSE |
| P00190498 | Other | IN | RAILROAD / TRAVELERS |
| 200402670A | Medicaid | IN | |
| 000000351184 | Other | IN | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 18003130A (Indiana) | Secondary |
| 152W00000X | Optometrist | 9965T (Texas) | Primary |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Gonzales Cutler, OD 3412 Trowbridge St, Frisco, TX 75036-8188 Ph: (317) 678-0572 | Dr Mark Gonzales Cutler, OD 541 E Sandy Lake Rd, Coppell, TX 75019-3090 Ph: (972) 393-3937 |
Med Southwest, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 175 S Denton Tap Rd, Coppell, TX 75019 Phone: 972-393-8600 | |
Valley Ranch Family Eye Care Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 820 S Macarthur Blvd Ste 135, Coppell, TX 75019 Phone: 817-713-8331 | |
Clear Vision Associates Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 220 S Denton Tap Rd, Suite 204, Coppell, TX 75019 Phone: 903-707-7020 Fax: 866-925-8070 | |
Jared Pels, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 541 E Sandy Lake Rd, Coppell, TX 75019 Phone: 972-393-3937 | |
Dr. Stephanie Wilken, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 755 N Denton Tap Rd, #100, Coppell, TX 75019 Phone: 972-459-3300 Fax: 972-459-0200 | |
Dr. Trenton Todd Elliott, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 175 S Denton Tap Rd, Coppell, TX 75019 Phone: 972-393-8600 | |
Wilken Eye Associates, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 651 N Denton Tap Rd, Suite 150, Coppell, TX 75019 Phone: 972-410-1313 Fax: 972-899-0662 |