| Lakeside Vision & Optical P.c. | |
|
4012 Preston Road, Suite 500, Plano, TX 75093-7351 | |
| (872) 985-3638 | |
| (972) 867-7062 |
| Full Name | Lakeside Vision & Optical P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 4012 Preston Road, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043400062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | (* (Not Available)) | Primary |
| Provider Name | Deborah A Moon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902972177 PECOS PAC ID: 5991750416 Enrollment ID: I20050317000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Vision & Optical P.c. 4012 Preston Rd Ste 500, Plano, TX 75093-7351 Ph: (972) 985-3638 | Lakeside Vision & Optical P.c. 4012 Preston Road, Suite 500, Plano, TX 75093-7351 Ph: (872) 985-3638 |
Cathy Tran Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2200 Dallas Pkwy Ste 330, Plano, TX 75093 Phone: 972-378-1822 |
Dr. Ajay S Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9955 Gillespie Dr, Suite 100, Plano, TX 75025 Phone: 972-403-1110 Fax: 972-403-1153 |
Shawn M Kelly, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2313 W Parker Rd, Plano, TX 75023 Phone: 972-612-2015 Fax: 972-867-5454 |
Dr. Clarissa J De Paz, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 811 N Central Expy, Suite 1000, Plano, TX 75075 Phone: 972-423-3937 |
Dr. Ernest Lee Cook, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Preston Rd Apt 1123, Plano, TX 75093 Phone: 972-612-6114 Fax: 972-612-6114 |
Dr. Kenneth M Garza, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Hedgcoxe Rd, Suite 140, Plano, TX 75025 Phone: 469-323-1927 |
Central Vision Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1145 14th St, 2115, Plano, TX 75074 Phone: 972-424-7236 |