Jack Ibrahim (NPI# 1760978571, PAC ID# 4587912118) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760978571 |
| PAC ID by PECOS | 4587912118 |
| Professional Enrollment ID | I20180730002502 |
| Full Name | Jack Ibrahim |
| Organization Legal Name | OPTOMETRIC ASSOCIATES OF TEXAS P.A. |
| Address |
305 W Fm 1382 Bldg 500 Suite 500 Cedar Hill TX 75104 |
| Phone Number | 9722999988 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 8527041326 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 | 9722999988 | OPTOMETRIC ASSOCIATES OF TEXAS P.A. |
| 1076 Town E Mall, Mesquite, TX 75150 | 9726817614 | OPTOMETRIC ASSOCIATES OF TEXAS P.A. |
| Organization Legal Name | OPTOMETRIC ASSOCIATES OF TEXAS P.A. |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael Adolfo Garcia | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Kayla Ashley Kindla | Optometry | Optometric Associates of Texas P.a. | 2601 S Ih, 35 Suite 100, Round Rock, TX 78664-7321 |
| Krystal Renae Arend | Optometry | Optometric Associates of Texas P.a. | 130 Nw John Jones Dr, Suite 216a, Burleson, TX 76028-8174 |
| Mary L Eaton | Optometry | Optometric Associates of Texas P.a. | 9600 S Ih35, S225 Master Eye Associates, Austin, TX 78748-3889 |
| Jacqueline S Sitton | Optometry | Optometric Associates of Texas P.a. | 12700 Hill Country Blvd, Suite 110, Bee Cave, TX 78738-6361 |
| Samira F Alejos | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Mita Kanti Vala | Optometry | Optometric Associates of Texas P.a. | 6001 Airport Blvd, Austin, TX 78752-4219 |
| Richard H Maybury | Optometry | Optometric Associates of Texas P.a. | 1201 Barbara Jordan Blvd, Suite 1480, Austin, TX 78723-3183 |
| Zinnia Farooq | Optometry | Optometric Associates of Texas P.a. | 2601 Preston Rd, Suite 1126, Frisco, TX 75034-9472 |
| Natalia Temboni Caraballo | Optometry | Optometric Associates of Texas P.a. | 11200 Lakeline Dr, Suite 5, Cedar Park, TX 78613 |
| Street Address |
305 W FM 1382 BLDG 500 SUITE 500 |
| City | CEDAR HILL |
| State | TX |
| Zip | 75104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafael Adolfo Garcia | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Trang T Dao | Optometry | 305 W Fm, 524b, Cedar Hill, TX 75104-1890 | |
| Jennifer Marie Wiernas | Optometry | Optometric Associates of Texas P.a. | 305 W Fm, 1382 Bldg 500 Suite 500, Cedar Hill, TX 75104 |
| Kymber Blaschke | Optometry | Infocus Vision, P.C. | 305 W Fm, 524b, Cedar Hill, TX 75104-1890 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry L Bowers | Podiatry | 2020 Molton Ct, Cedar Hill, TX 75104-1024 | |
| Atemnkeng F Dibaki | Nurse Practitioner | 318 W Belt Line Rd, Suite 304, Cedar Hill, TX 75104-1103 | |
| Gene Bigham | Internal Medicine | Promontory Geriatrics LLC | 214 W Belt Line Rd, Suite B, Cedar Hill, TX 75104-1105 |
| Cecil C Bailey | Internal Medicine | 1121 N Joe Wilson Rd, Heritage Inter Med Pllc, Cedar Hill, TX 75104-1430 | |
| Robert L Jones | Optometry | Robert L Jones Od Pa | 305 W Fm 1382, Cedar Hill, TX 75104-1890 |
| Johnes B Monyoncho | Nurse Practitioner | 1001 Jorgenson Rd, Cedar Hill, TX 75104-1968 | |
| Carlos Pancorvo | Nephrology | Dallas Nephrology Associates | 120 W Belt Line Rd, Cedar Hill, TX 75104-2011 |
| Brittany R Potter | Family Medicine | Cedar Hill Pain and Rehab, Pa | 716 N Hwy 67, Suite 2, Cedar Hill, TX 75104-2117 |
| Benjamin C Dagley | Physical Medicine and Rehabilitation | Cedar Hill Pain and Rehab, Pa | 716 N Hwy 67, Suite 2, Cedar Hill, TX 75104-2117 |
| Albert Vu | Physical Medicine and Rehabilitation | Cedar Hill Pain and Rehab, Pa | 716 N Hwy 67, Suite 2, Cedar Hill, TX 75104-2117 |
| Find all physicians in zip 75104 | |||
| City | CEDAR HILL |
| Zip Code | 75104 |
| Specialty | OPTOMETRY |
| City + Specialty | CEDAR HILL + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.