| Eugene D. Bennett | |
|
4824 S Broadway Ave, Tyler, TX 75703-1312 | |
| (903) 581-2020 | |
| (903) 509-1492 |
| Full Name | Eugene D. Bennett |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4824 S Broadway Ave, Tyler, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922273754 | NPI | - | NPPES |
| 019677601 | Medicaid | TX | |
| 82046E | Other | TX | MEDICARE |
| 00E60M | Other | TX | MEDICARE |
| 1679627301 | Other | TX | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1848 (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eugene D. Bennett 4824 S Broadway Ave, Tyler, TX 75703-1312 Ph: (903) 581-2020 | Eugene D. Bennett 4824 S Broadway Ave, Tyler, TX 75703-1312 Ph: (903) 581-2020 |
Bryan E Frazier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5791 New Copeland Rd, Tyler, TX 75703 Phone: 903-339-3035 Fax: 903-339-3036 | |
Dr. David Michael Johnson, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2756 S Broadway Ave, Tyler, TX 75701 Phone: 903-593-2345 Fax: 903-593-4646 | |
Piney Woods Family Eyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 701 W Southwest Loop 323, Tyler, TX 75701 Phone: 480-375-8908 | |
Larry M Chism Pc Optometrist Medicare: Medicare Enrolled Practice Location: 136 Shelley Drive, Tyler, TX 75701 Phone: 903-561-8686 Fax: 903-581-1518 | |
Dr. Andrew Eric Hamilton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4826 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-6995 | |
Dat Ly, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7924 S Broadway Ave, Ste 200, Tyler, TX 75703 Phone: 903-617-6864 Fax: 903-504-5758 | |
20/20 Icare Tyler Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 4824 S Broadway Ave, Tyler, TX 75703 Phone: 903-581-2020 |