| |
1829 Sw Military Dr, San Antonio, TX 78221-1432 | |
(956) 335-6476 | |
(561) 828-8367 |
Full Name | |
---|---|
Type | Facility |
Speciality | Eyewear Supplier |
Location | 1829 Sw Military Dr, San Antonio, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255909859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
3008 Dawn Dr Ste 105, Georgetown, TX 78628-2822 Ph: () - | 1829 Sw Military Dr, San Antonio, TX 78221-1432 Ph: (956) 335-6476 |