Potranco Eye Care, Pllc | |
14244 Potranco Rd Ste 450, San Antonio, TX 78253-2133 | |
(210) 701-8303 | |
Not Available |
Full Name | Potranco Eye Care, Pllc |
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Type | Facility |
Speciality | Optometrist |
Location | 14244 Potranco Rd Ste 450, 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 |
---|---|---|---|
1164005922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Peter Nguyen |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326472622 PECOS PAC ID: 1759510977 Enrollment ID: I20140211001778 |
Mailing Address | Practice Location Address |
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Potranco Eye Care, Pllc 14244 Potranco Rd Ste 450, San Antonio, TX 78253-2133 Ph: (210) 701-8303 | Potranco Eye Care, Pllc 14244 Potranco Rd Ste 450, San Antonio, TX 78253-2133 Ph: (210) 701-8303 |
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