| William Koraen Pope, OD | |
|
711 E Goliad Ave, Crockett, TX 75835-2140 | |
| (936) 544-3763 | |
| (936) 544-7894 |
| Full Name | William Koraen Pope |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 31 Years |
| Location | 711 E Goliad Ave, Crockett, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588744973 | NPI | - | NPPES |
| 410040981 | Other | TX | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5010T (Texas) | Secondary |
| 152W00000X | Optometrist | 5010TG (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ja Mccall Clinic Llc | 0749529246 | 2 |
| Provider Name | Ja Mccall Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063983039 PECOS PAC ID: 0749529246 Enrollment ID: O20190227002804 |
| Provider Name | Aeg Texas Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1457905937 PECOS PAC ID: 4486985678 Enrollment ID: O20191021001152 |
| Mailing Address | Practice Location Address |
|---|---|
| William Koraen Pope, OD 711 E Goliad Ave, Crockett, TX 75835-2140 Ph: (936) 544-3763 | William Koraen Pope, OD 711 E Goliad Ave, Crockett, TX 75835-2140 Ph: (936) 544-3763 |
Ja Mccall Clinic Llc Optometrist Medicare: Medicare Enrolled Practice Location: 711 E Goliad Ave, Crockett, TX 75835 Phone: 936-544-3763 | |
Mccall & Mccall Optometrist Medicare: Not Enrolled in Medicare Practice Location: 711 E Goliad Ave, Crockett, TX 75835 Phone: 936-544-3763 Fax: 936-544-7894 | |
Dr. John A. Mccall Jr., OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 711 E Goliad Ave, Crockett, TX 75835 Phone: 936-544-3763 Fax: 936-544-7894 |