MEDICARE: WARD EYE ASSOCIATES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WL0500X	Low Vision Rehabilitation Optometrist
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1184208134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WARD EYE ASSOCIATES PC

Provider Business Mailing Address
First Line	:	1821 JUDSON RD
Second Line	:
City	:	LONGVIEW
State	:	TX
Zip	:	75605-4710
Country	:	US
Telephone Number	:	903-758-8832
Fax Number	:	903-238-8876

Provider Business Practice Location Address
First Line	:	2306 E END BLVD S
Second Line	:
City	:	MARSHALL
State	:	TX
Zip	:	75672-7469
Country	:	US
Telephone Number	:	903-938-2555
Fax Number	:	903-238-8876

Authorized Official
Title or Position	:	OWNER/ OPTOMETRIST
Name	:	SARAH E WARD
Credential	:	OD
Telephone Number	:	903-261-9030

Provider Enumeration Date	:	05/06/2021
Last Update Date	:	07/03/2024

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Directions to “WARD EYE ASSOCIATES PC ” Practice Location

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