| Dr Anthony Mac, OD | |
|
1742 N Loop 1604 E Ste 117, San Antonio, TX 78232-1594 | |
| (210) 428-6696 | |
| Not Available |
| Full Name | Dr Anthony Mac |
|---|---|
| Gender | Male |
| Speciality | Optometrist - Corneal And Contact Management |
| Location | 1742 N Loop 1604 E Ste 117, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982379301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WC0802X | Optometrist - Corneal And Contact Management | 10391TG (Texas) | Primary |
| Provider Name | University Of The Incarnate Word |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
| Provider Name | Androzo Enterprises, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1275958712 PECOS PAC ID: 6204050586 Enrollment ID: O20140605001922 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anthony Mac, OD 1742 N Loop 1604 E Ste 117, San Antonio, TX 78232-1594 Ph: (210) 428-6696 | Dr Anthony Mac, OD 1742 N Loop 1604 E Ste 117, San Antonio, TX 78232-1594 Ph: (210) 428-6696 |
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