| Modern Optometry Pllc | |
|
15900 La Cantera Pkwy Ste 6697, San Antonio, TX 78256-2428 | |
| (210) 488-0453 | |
| Not Available |
| Full Name | Modern Optometry Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 15900 La Cantera Pkwy Ste 6697, 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 |
|---|---|---|---|
| 1427735414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Ashley Kay Garcia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104460427 PECOS PAC ID: 4385068030 Enrollment ID: I20200728001380 |
| Provider Name | Joel George |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750981684 PECOS PAC ID: 9335554393 Enrollment ID: I20210225000653 |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Optometry Pllc 8126 Glasgow Dr, San Antonio, TX 78223-4625 Ph: (210) 488-0453 | Modern Optometry Pllc 15900 La Cantera Pkwy Ste 6697, San Antonio, TX 78256-2428 Ph: (210) 488-0453 |
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