| Texas State Optical Stone Oak | |
|
21019 Us Highway 281 N Ste 832, San Antonio, TX 78258-7605 | |
| (361) 510-4903 | |
| Not Available |
| Full Name | Texas State Optical Stone Oak |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 21019 Us Highway 281 N Ste 832, 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 |
|---|---|---|---|
| 1104338078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jaclyn L Hutchins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285073668 PECOS PAC ID: 2365671542 Enrollment ID: I20140211000244 |
| Provider Name | Thinh Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528442886 PECOS PAC ID: 1456682921 Enrollment ID: I20191015000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Texas State Optical Stone Oak 4103 Muir Wood Dr, San Antonio, TX 78257-5063 Ph: () - | Texas State Optical Stone Oak 21019 Us Highway 281 N Ste 832, San Antonio, TX 78258-7605 Ph: (361) 510-4903 |
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