MEDICARE: JAMES ELWOOD PICKETT III MD

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	207W00000X	Ophthalmology Physician	G3694	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	742732278	OTHER	TX	TAX ID
3	85X691	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1497863112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES ELWOOD PICKETT III MD

Provider Business Mailing Address
First Line	:	1300 WONDER WORLD DR
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-7575
Country	:	US
Telephone Number	:	512-353-1300
Fax Number	:	512-353-5135

Provider Business Practice Location Address
First Line	:	2430 S IH 35 STE 106
Second Line	:
City	:	SAN MARCOS
State	:	TX
Zip	:	78666-5921
Country	:	US
Telephone Number	:	512-353-1300
Fax Number	:	512-353-5135

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	10/28/2020

Similar Medicare Providers

1942494703 — DR. JOSHUA KI HU MD
Practice Location Address:

2430 S IH 35 STE 106
SAN MARCOS, TX
78666-5921

Practice Phone: 512-353-1300
Practice Fax: 512-353-5135

1407024227 — JONATHAN CHASE WELCH MD
Practice Location Address:

2430 S IH 35 STE 106
SAN MARCOS, TX
78666-5921

Practice Phone: 512-353-1300
Practice Fax: 512-353-5135

1619551272 — OCULUS EYEWEAR, LLC
Practice Location Address:

2430 S IH 35 STE 110
SAN MARCOS, TX
78666-5921

Practice Phone: 512-396-1500
Practice Fax:

1215263439 — DONICA DOHRENWEND PHD
Practice Location Address:

6265 GREENWICH DR STE 230
SAN DIEGO, CA
92122-5921

Practice Phone: 858-877-3601
Practice Fax:

1801144522 — SPORTS MEDICINE ASSOCIATES OF SAN ANTONIO, PA
Practice Location Address:

5921 BROADWAY ST
SAN ANTONIO, TX
78209-5235

Practice Phone: 210-822-8326
Practice Fax: 210-823-5429

1992129803 — WENDI JORDAN LPC
Practice Location Address:

3802 PARKWOOD DR
SAN ANGELO, TX
76904-5921

Practice Phone: 325-658-7750
Practice Fax:

Directions to “ JAMES ELWOOD PICKETT III MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.