Ethelred Enterprises, Llc. - Optometrist in Waco, TX

Ethelred Enterprises, Llc. is a Optometrist based in Waco, Texas. Ethelred Enterprises, Llc. is licensed to practice in Texas (license number 4923T) and their current practice location is 614 N New Rd # 6035, Waco, Texas. It can be reached at their office (for appointments etc.) via phone at (254) 770-1338.

NPI number for Ethelred Enterprises, Llc. is 1154585180 and their current mailing address is 614 N New Rd, Waco, Texas. Ethelred Enterprises, Llc. does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1154585180.

Contact Information

Ethelred Enterprises, Llc.
614 N New Rd # 6035,
Waco, TX 76710-6035
(254) 770-1338
(254) 770-1602

Map and Direction




Healthcare Provider's Profile

Full NameEthelred Enterprises, Llc.
TypeFacility
SpecialityOptometrist
Location614 N New Rd # 6035, Waco, Texas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1154585180
  • Provider Enumeration Date: 07/18/2008
  • Last Update Date: 06/24/2009

Medical Identifiers

Medical identifiers for Ethelred Enterprises, Llc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154585180NPI-NPPES
TX4923OtherTXEYE MED
181493101MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 4923T (Texas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ethelred Enterprises, Llc. is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ethelred Enterprises, Llc.
614 N New Rd,
Waco, TX 76710-6035

Ph: (254) 776-1338
Ethelred Enterprises, Llc.
614 N New Rd # 6035,
Waco, TX 76710-6035

Ph: (254) 770-1338

Reviews and Comments


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