| Pediatric Eye Specialists Llp | |
|
321 S Henderson St, Fort Worth, TX 76104-1016 | |
| (817) 529-9949 | |
| (817) 529-9943 |
| Full Name | Pediatric Eye Specialists Llp |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 321 S Henderson St, Fort Worth, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760507149 | NPI | - | NPPES |
| 323588905 | Medicaid | TX | |
| 166926901 | Medicaid | TX | |
| 152778001 | Medicaid | TX | |
| 145291402 | Medicaid | TX | |
| 018440004 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | L2508 L8376 L047 (Texas) | Primary |
| Provider Name | Michael G Hunt |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154301372 PECOS PAC ID: 9335113984 Enrollment ID: I20040820000617 |
| Provider Name | Eric A Packwood |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366414773 PECOS PAC ID: 5991779308 Enrollment ID: I20120328000889 |
| Provider Name | Alan A Norman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1346219821 PECOS PAC ID: 1254400716 Enrollment ID: I20120328000919 |
| Provider Name | Prashanthi J Giridhar |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770710394 PECOS PAC ID: 8628212115 Enrollment ID: I20130924000396 |
| Provider Name | Emily Evans Horn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841639473 PECOS PAC ID: 4880826783 Enrollment ID: I20140408000908 |
| Provider Name | Sarah Madison Duff |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417480153 PECOS PAC ID: 4981969607 Enrollment ID: I20230718000238 |
| Provider Name | David F Skanchy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649831462 PECOS PAC ID: 2062749765 Enrollment ID: I20240227002541 |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Eye Specialists Llp 321 S Henderson St, Fort Worth, TX 76104-1016 Ph: (817) 529-9949 | Pediatric Eye Specialists Llp 321 S Henderson St, Fort Worth, TX 76104-1016 Ph: (817) 529-9949 |