| Dumas Vision Source, Pllc | |
|
1301 E 1st St, Dumas, TX 79029-3567 | |
| (806) 935-2020 | |
| (806) 934-9908 |
| Full Name | Dumas Vision Source, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1301 E 1st St, Dumas, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013156694 | NPI | - | NPPES |
| 19278301 | Medicaid | TX | |
| 209723002 | Medicaid | TX | |
| 209723001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4305TG (Texas) | Primary |
| Provider Name | Tory W Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336134980 PECOS PAC ID: 2062564065 Enrollment ID: I20090722000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dumas Vision Source, Pllc 1301 E 1st St, Dumas, TX 79029-3567 Ph: (806) 935-2020 | Dumas Vision Source, Pllc 1301 E 1st St, Dumas, TX 79029-3567 Ph: (806) 935-2020 |
Mr. Joshua Patrick Kavanagh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 E 1st St, Dumas, TX 79029 Phone: 806-935-2020 | |
Panhandle Vision Center - Dumas Pc Optometrist Medicare: Medicare Enrolled Practice Location: 224 E 7th St, Dumas, TX 79029 Phone: 806-935-7773 Fax: 806-935-7972 |