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NPI Code Detail

MEDICARE: PLANO EYE ASSOCIATES PC

MEDICARE: PLANO 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
1152W00000XOptometrist3161TGTX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750581864
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLANO EYE ASSOCIATES PC
Provider Business Mailing Address
First Line : 5900 COIT RD
Second Line :
City : PLANO
State : TX
Zip : 75023-5959
Country : US
Telephone Number : 972-985-1412
Fax Number : 972-964-5758
Provider Business Practice Location Address
First Line : 5900 COIT RD
Second Line :
City : PLANO
State : TX
Zip : 75023-5959
Country : US
Telephone Number : 972-985-1412
Fax Number : 972-964-5758
Authorized Official
Title or Position : CEO
Name : KIM CASTLEBERRY
Credential : O.D.
Telephone Number : 972-985-1412
Provider Enumeration Date : 07/18/2007
Last Update Date : 04/27/2023

Similar Medicare Providers

1285652032 — STANLEY TUAN TRAN O.D.
Practice Location Address:
5900 COIT RD
PLANO, TX
75023-5959
Practice Phone: 972-985-1412
Practice Fax: 972-964-5758
1841213576 — KIM A CASTLEBERRY O.D.
Practice Location Address:
5900 COIT RD
PLANO, TX
75023-5959
Practice Phone: 972-985-1412
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1548390222 — DR. FIONA LESLEY WRIGHT M.D.
Practice Location Address:
5900 COIT RD , SUITE B
PLANO, TX
75023-5959
Practice Phone: 972-867-3223
Practice Fax: 972-519-9717
1245751510 — WILSON HUNG OD
Practice Location Address:
5900 COIT RD
PLANO, TX
75023-5959
Practice Phone: 972-985-1412
Practice Fax:
1386121168 — ANGELINE NGUYEN OD
Practice Location Address:
5900 COIT RD
PLANO, TX
75023-5959
Practice Phone: 972-985-1412
Practice Fax: 972-767-4958
1053920546 — DR. CHRISTA MARIE WIDJAJA OD
Practice Location Address:
5900 COIT RD
PLANO, TX
75023-5959
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Practice Fax:

Directions to “PLANO EYE ASSOCIATES PC ” Practice Location

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