| Los Fresnos Eye Clinic & Optical Inc. | |
|
810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 | |
| (956) 233-5252 | |
| (956) 233-6430 |
| Full Name | Los Fresnos Eye Clinic & Optical Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 810 W Ocean Blvd Ste C2, Los Fresnos, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215115118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6913TG (Texas) | Primary |
| Provider Name | Antonio Vasquez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194746834 PECOS PAC ID: 5294732566 Enrollment ID: I20061030000221 |
| Provider Name | Keith Tully |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033591821 PECOS PAC ID: 0749595387 Enrollment ID: I20150812006401 |
| Mailing Address | Practice Location Address |
|---|---|
| Los Fresnos Eye Clinic & Optical Inc. 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 Ph: (956) 233-5252 | Los Fresnos Eye Clinic & Optical Inc. 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566-3644 Ph: (956) 233-5252 |
Dr. Keith L Tully, OD Optometrist Medicare: Medicare Enrolled Practice Location: 810 W Ocean Blvd, Suite C2, Los Fresnos, TX 78566 Phone: 956-233-5252 Fax: 956-233-6430 | |
Dr. Antonio Vasquez, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 810 W Ocean Blvd Ste C2, Los Fresnos, TX 78566 Phone: 956-233-5252 |