| North Shore Eye Care, P.a. | |
|
7708 Lohmans Ford Rd, Bldg., B, Suite 102, Lago Vista, TX 78645-4781 | |
| (512) 267-7700 | |
| Not Available |
| Full Name | North Shore Eye Care, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 7708 Lohmans Ford Rd, Lago Vista, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487803961 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6895TG (Texas) | Primary |
| Provider Name | Shannon C Kerns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295748663 PECOS PAC ID: 3779685433 Enrollment ID: I20070227000154 |
| Provider Name | Mark Dworsky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073533675 PECOS PAC ID: 0042372369 Enrollment ID: I20081222000110 |
| Provider Name | Kayla Ashley Kindla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346718772 PECOS PAC ID: 8224361829 Enrollment ID: I20190613002573 |
| Mailing Address | Practice Location Address |
|---|---|
| North Shore Eye Care, P.a. 7708 Lohmans Ford Rd, Bldg., A, Suite 102, Lago Vista, TX 78645-4781 Ph: (512) 267-7700 | North Shore Eye Care, P.a. 7708 Lohmans Ford Rd, Bldg., B, Suite 102, Lago Vista, TX 78645-4781 Ph: (512) 267-7700 |
Dr. Shannon Cherie Kerns, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7708 Lohmans Ford Rd, Bldg., B, Suite 102, Lago Vista, TX 78645 Phone: 512-267-7700 |