| Texas State Optical Keller | |
|
12584 N Beach St, Suite 122, Fort Worth, TX 76244-4249 | |
| (817) 431-4100 | |
| (855) 490-5723 |
| Full Name | Texas State Optical Keller |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12584 N Beach 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 |
|---|---|---|---|
| 1790027910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 7124TG (Texas) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | 7124TG (Texas) | Secondary |
| Provider Name | Bhaveshkumar R Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760674147 PECOS PAC ID: 6709960628 Enrollment ID: I20080229000494 |
| Provider Name | Kristen Hatton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669033171 PECOS PAC ID: 1557782380 Enrollment ID: I20200603003288 |
| Mailing Address | Practice Location Address |
|---|---|
| Texas State Optical Keller 12584 N Beach St, Suite 122, Fort Worth, TX 76244-4249 Ph: (817) 431-4100 | Texas State Optical Keller 12584 N Beach St, Suite 122, Fort Worth, TX 76244-4249 Ph: (817) 431-4100 |
Dr. Tyler T Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2720 Western Center Blvd, Suite 316, Fort Worth, TX 76131 Phone: 817-847-9000 | |
Hong Zeng, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 7108 Camp Bowie Blvd, Fort Worth, TX 76116 Phone: 817-738-3191 | |
Barbara Ellen Hyler Stivala, OD Optometrist Medicare: Medicare Enrolled Practice Location: 655 Taylor St, Fort Worth, TX 76102 Phone: 817-289-6800 Fax: 817-289-6825 | |
Dr. David L. Spivey, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7125 N Beach St, Fort Worth, TX 76137 Phone: 817-232-2321 Fax: 817-232-4933 | |
The Art Of Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2245 Jacksboro Hwy, Fort Worth, TX 76114 Phone: 682-707-7730 | |
Dr. Barjinder Singh Gill, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 9816 N Beach St, Fort Worth, TX 76244 Phone: 817-741-2020 | |
Texas Family Vision Center Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3401 Golden Triangle Blvd # 121, Fort Worth, TX 76177 Phone: 817-937-1725 |