| Eye Clinic Of Austin | |
|
3410 Far West Blvd Ste 140, Austin, TX 78731 | |
| (512) 427-1107 | |
| (512) 427-1208 |
| Full Name | Eye Clinic Of Austin |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 3410 Far West Blvd Ste 140, Austin, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023363926 | NPI | - | NPPES |
| 313929702 | Medicaid | TX | |
| PENDING | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 06143TG (Texas) | Secondary |
| 207W00000X | Ophthalmology | F4863 (Texas) | Primary |
| Provider Name | Melanie M Prosise |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801988316 PECOS PAC ID: 7113020538 Enrollment ID: I20070305000718 |
| Provider Name | Thomas T Henderson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407045339 PECOS PAC ID: 5597868166 Enrollment ID: I20100820000617 |
| Provider Name | Farhan Irshad |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871775650 PECOS PAC ID: 3971635756 Enrollment ID: I20180116001283 |
| Provider Name | Chelsea Anne Devitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093236416 PECOS PAC ID: 9537427398 Enrollment ID: I20190712000998 |
| Provider Name | Irina Volosko |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1023520624 PECOS PAC ID: 2567864929 Enrollment ID: I20220927003645 |
| Provider Name | Gerald P Clarke |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1104988955 PECOS PAC ID: 0042299026 Enrollment ID: I20240621001239 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Clinic Of Austin 3410 Far West Blvd Ste 140, Austin, TX 78731 Ph: (512) 427-1107 | Eye Clinic Of Austin 3410 Far West Blvd Ste 140, Austin, TX 78731 Ph: (512) 427-1107 |