| Vision Source - Kingwood, Pa | |
|
1714 Kingwood Dr, Kingwood, TX 77339-3046 | |
| (713) 995-0042 | |
| (713) 995-0548 |
| Full Name | Vision Source - Kingwood, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1714 Kingwood Dr, Kingwood, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265564769 | NPI | - | NPPES |
| 0046FE | Other | TX | BLUE CROSS & BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 03337TG (Texas) | Primary |
| Provider Name | Keith R Danz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609958990 PECOS PAC ID: 0042293664 Enrollment ID: I20040612000267 |
| Provider Name | Christine E Acosta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194897231 PECOS PAC ID: 9335222751 Enrollment ID: I20080208000155 |
| Provider Name | Glenn D Ellisor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407900590 PECOS PAC ID: 7719980143 Enrollment ID: I20101029000466 |
| Provider Name | Wade G Ellisor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497138572 PECOS PAC ID: 2961718820 Enrollment ID: I20150909000341 |
| Provider Name | Erin C Ellisor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790262475 PECOS PAC ID: 2668722166 Enrollment ID: I20180904002381 |
| Provider Name | Richardson Hoang Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457923054 PECOS PAC ID: 6002296779 Enrollment ID: I20220712002224 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source - Kingwood, Pa 1714 Kingwood Dr, Kingwood, TX 77339-3046 Ph: (713) 995-0042 | Vision Source - Kingwood, Pa 1714 Kingwood Dr, Kingwood, TX 77339-3046 Ph: (713) 995-0042 |
Joe D Nguyen, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22741 Professional Dr, Kingwood, TX 77339 Phone: 281-319-4334 Fax: 281-319-4855 | |
Sammy-kumar Hogan, OD Optometrist Medicare: Medicare Enrolled Practice Location: 25 N Main St, Kingwood, TX 77339 Phone: 281-361-2020 | |
Maria Nguyen-trinh, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 25639 Highway 59 N Ste 109, Kingwood, TX 77339 Phone: 832-810-2020 | |
Dr. Paul Michael Palumbo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 22741 Professional Dr, Kingwood, TX 77339 Phone: 281-319-4334 Fax: 281-319-4855 | |
Hans M. Kell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1714 Kingwood Dr, Kingwood, TX 77339 Phone: 281-359-2020 Fax: 303-673-9578 | |
Dr. Christine Elizabeth Acosta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1714 Kingwood Dr, Kingwood, TX 77339 Phone: 281-359-2020 | |
Brittney Probst, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 N Main St, Kingwood, TX 77339 Phone: 281-361-2020 |