| Eye Theory | |
|
115 N Loop 1604 E Ste 1103, San Antonio, TX 78232-1399 | |
| (210) 635-0050 | |
| Not Available |
| Full Name | Eye Theory |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 115 N Loop 1604 E Ste 1103, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821756735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Sanjay R Nancherla |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306369574 PECOS PAC ID: 6103182472 Enrollment ID: I20171102002850 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Theory 115 N Loop 1604 E Ste 1103, San Antonio, TX 78232-1399 Ph: (210) 635-0050 | Eye Theory 115 N Loop 1604 E Ste 1103, San Antonio, TX 78232-1399 Ph: (210) 635-0050 |
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