| Shini Od Pa | |
|
3525 Longmire Dr Ste K, College Station, TX 77845-5281 | |
| (979) 694-2000 | |
| (979) 694-2010 |
| Full Name | Shini Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3525 Longmire Dr Ste K, College Station, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083862213 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6652TG (Texas) | Primary |
| Provider Name | Simaan A Shini |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093828436 PECOS PAC ID: 5092768218 Enrollment ID: I20050301000123 |
| Provider Name | Dmitriy Zike |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861844615 PECOS PAC ID: 8022391242 Enrollment ID: I20170214002501 |
| Mailing Address | Practice Location Address |
|---|---|
| Shini Od Pa 3525 Longmire Dr Ste K, College Station, TX 77845-5281 Ph: (979) 694-2000 | Shini Od Pa 3525 Longmire Dr Ste K, College Station, TX 77845-5281 Ph: (979) 694-2000 |
Vision Insight Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1405 Earl Rudder Fwy S, College Station, TX 77845 Phone: 979-764-7700 Fax: 979-764-7701 | |
Kathryn L Yorke, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2551 Texas Ave S Ste B, College Station, TX 77840 Phone: 979-764-0669 Fax: 979-694-1940 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1505 University Dr E Ste 450, College Station, TX 77840 Phone: 979-431-6053 | |
Dr. Michael C. Brice, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Scott And White Dr, College Station, TX 77845 Phone: 979-207-7400 | |
Don W Nicholson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 900 Scott And White Dr, College Station, TX 77845 Phone: 979-207-7400 | |
Dr. Justin Mays, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1109 Rock Prairie Rd Ste 300, College Station, TX 77845 Phone: 979-764-0669 Fax: 979-694-1940 | |
Dr Ann L Wild Optometrist Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2746 Longmire Dr, College Station, TX 77845 Phone: 979-764-1554 Fax: 979-694-2259 |