Visiontech 2020 | |
1321 N Loop 1604 E Ste 101, San Antonio, TX 78232-1438 | |
(210) 782-8205 | |
(210) 545-2147 |
Full Name | Visiontech 2020 |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1321 N Loop 1604 E Ste 101, 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 |
---|---|---|---|
1396931507 | NPI | - | NPPES |
81270Q | Other | TX | BLUE CROSS BLUE SHIELD |
019490403 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4474T (Texas) | Primary |
Provider Name | Cynthia G Phelps |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1629098256 PECOS PAC ID: 3577627835 Enrollment ID: I20090130000584 |
Mailing Address | Practice Location Address |
---|---|
Visiontech 2020 1321 N Loop 1604 E Ste 100a, San Antonio, TX 78232-1438 Ph: (210) 782-8205 | Visiontech 2020 1321 N Loop 1604 E Ste 101, San Antonio, TX 78232-1438 Ph: (210) 782-8205 |
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