Abilene Advanced Eyecare Inc.
Organization Active NPI Optometrist · Abilene, TX
NPI 1104001643 · NPPES record last updated Feb 15, 2008
Key facts
- NPI
- 1104001643
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- TX6293TG (TX)
- Legal business name
- ABILENE ADVANCED EYECARE INC.
- Practice address
- 4734 S 14TH
Abilene, TX 79605-4733 - Phone
- (325) 692-9596
- Fax
- (325) 690-6191
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Gabriel Avila, O.D.
- Title
- Optometrist/Owner
- Phone
- (325) 692-9596
Practitioners 30
-
Gabriel Avila, OD
-
Nealy Edmondson, OD
-
Marcus Landon McLean, O.D.
-
Hayden Nauert, OD
-
Madison Salmon, OD
-
Shekhar S Desai, MD
-
Paul C Durney, DPM
-
Thomas D Fields, MD
-
Michael Patrick Fox, M.D.
-
Daniel L King, M.D.
-
Cory John Lawler, M.D.
-
Martin Lenoci, DPM
-
Joyce A Lynch, MD
-
Mark Stephen McTammany, M.D.
-
Henry N Nelson, MD
-
Jeffrey T Obrien, MD
-
Anthony J Salvador, P.A.-C
-
Anthony Saracino, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031223000822 | TX | Part B Supplier - Clinic/Group Practice | 6002714342 |
Receives reassigned benefits from 6 practitioners Practice locations: Abilene, TX; Stamford, TX |
National Provider Directory
Locations
4749 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 267-6040
719 W Main St
Eastland, TX 76448
Phone (254) 631-0200
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | TX6293TG | TX | Yes |
Addresses
Primary practice location
4734 S 14TH
Abilene, TX 79605-4733
Mailing address
4734 South 14TH
Abilene, TX 79605-4733
Phone (325) 692-9596
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U91992 | Other | TX | PROVIDER UPIN |
Other providers in Abilene, TX
- Abi Counseling, PLLC
- Abifitz, LLC
- Abilen Oral and Maxillofacial Surgery Associates PLLC
- Abilene Absolute Recovery Solutions
- Abilene Adult Day Care
- Abilene Advanced Pain Institute
- Abilene Allergy PLLC
- Abilene Ambulatory Surgery Center for Pain Management, LLC
- Abilene Artificial Limb Co. LLP
- Abilene ASC LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.