| Southlake Eye Associates, Pa | |
|
101 River Oaks Dr, Ste 100, Southlake, TX 76092 | |
| (817) 562-2101 | |
| (817) 562-2201 |
| Full Name | Southlake Eye Associates, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 101 River Oaks Dr, Southlake, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801966528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4107TG (Texas) | Primary |
| Provider Name | Gregory B Kloesel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962404665 PECOS PAC ID: 8628166600 Enrollment ID: I20071109000208 |
| Mailing Address | Practice Location Address |
|---|---|
| Southlake Eye Associates, Pa 101 River Oaks Dr, Ste 100, Southlake, TX 76092 Ph: (817) 562-2101 | Southlake Eye Associates, Pa 101 River Oaks Dr, Ste 100, Southlake, TX 76092 Ph: (817) 562-2101 |
Christina M Poignard, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1251 E Southlake Blvd Ste 331, Southlake, TX 76092 Phone: 817-663-1770 | |
Tami Lea Hannaman, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3004 E Southlake Blvd, Southlake, TX 76092 Phone: 817-748-2015 Fax: 817-749-2015 | |
Karen Liu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1980 E. State Highway 114, Southlake, TX 76092 Phone: 817-329-2700 | |
Lilit Saakova, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1251 E Southlake Blvd Ste 333, Southlake, TX 76092 Phone: 817-310-0289 | |
Southlake Vision Group Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 3004 E Southlake Blvd, Southlake, TX 76092 Phone: 682-554-2079 | |
Sophia Malani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277 | |
Dr. Marcus Aaron Whatley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1247 Main St, Southlake, TX 76092 Phone: 817-481-2070 Fax: 817-410-9277 |