| Arlington Ophthalmology Association Pllc | |
|
350 E Interstate 20 Arlington TX 76018 | |
| (817) 784-0222 | |
| (817) 467-5819 |
| Full Name | Arlington Ophthalmology Association Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 E Interstate 20, Arlington, Texas |
| Authorized Official Name and Position | Christian Ellison (CEO) |
| Authorized Official Contact | 7202737449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arlington Ophthalmology Association Pllc 3900 E Mexico Ave Ste 102 Denver CO 80210-3941 Ph: (303) 800-2078 | Arlington Ophthalmology Association Pllc 350 E Interstate 20 Arlington TX 76018 Ph: (817) 784-0222 |
| NPI Number | 1639276843 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 04/28/2025 |
| Medicare PECOS PAC ID | 2668379876 |
|---|---|
| Medicare Enrollment ID | O20031216000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639276843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kelly J Frasier |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609894773 PECOS PAC ID: 5092712737 Enrollment ID: I20061023000249 |
| Provider Name | Mark J Glanzer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336121003 PECOS PAC ID: 2062554413 Enrollment ID: I20100122000330 |
| Provider Name | Nadia A Virani |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821479890 PECOS PAC ID: 4688980394 Enrollment ID: I20150826000533 |
| Provider Name | Kyle A Reuter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407209877 PECOS PAC ID: 3779870860 Enrollment ID: I20160916001077 |
| Provider Name | Moulaye Ahmed Haidara |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1942647722 PECOS PAC ID: 4486952694 Enrollment ID: I20180830002152 |
| Provider Name | Ashish Singh |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1669859328 PECOS PAC ID: 1759620552 Enrollment ID: I20190221002273 |
| Provider Name | Yusra Siddiqui |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1639513211 PECOS PAC ID: 7517226277 Enrollment ID: I20190903000455 |
| Provider Name | Ian James Gutierrez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396395497 PECOS PAC ID: 7315279262 Enrollment ID: I20191028000598 |
| Provider Name | Sahmon Chinichian |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255696241 PECOS PAC ID: 9537453238 Enrollment ID: I20200406001036 |
| Provider Name | Wamika Kumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730700303 PECOS PAC ID: 3476979261 Enrollment ID: I20210818000010 |
| Provider Name | Diana Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780259325 PECOS PAC ID: 6204226244 Enrollment ID: I20211206001077 |
| Provider Name | Kevin Bubel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649665241 PECOS PAC ID: 3779899851 Enrollment ID: I20220628001147 |
| Provider Name | Roxanne R Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386140556 PECOS PAC ID: 5890031181 Enrollment ID: I20220822001939 |
| Provider Name | Adell Ann Elizabeth Walters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679143606 PECOS PAC ID: 3577948421 Enrollment ID: I20220914000687 |
| Provider Name | Joshua Oh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184390858 PECOS PAC ID: 7810352069 Enrollment ID: I20230424001230 |
| Provider Name | Rachel Elizabeth Bush |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366180051 PECOS PAC ID: 6709247398 Enrollment ID: I20230728002738 |
| Provider Name | Nigenda Griffin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568071207 PECOS PAC ID: 1850718859 Enrollment ID: I20230915000783 |
| Provider Name | Thao Ngoc Ngo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710408521 PECOS PAC ID: 3375074925 Enrollment ID: I20241007001758 |
| Provider Name | Logan Skrobarcek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215615505 PECOS PAC ID: 4789045915 Enrollment ID: I20241216001474 |
| Provider Name | Toni Schutte |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538830286 PECOS PAC ID: 4183152408 Enrollment ID: I20250114001214 |
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