| Pearle Vision | |
|
17134 Bulverde Rd Ste 107, San Antonio, TX 78247-2190 | |
| (210) 267-2686 | |
| (210) 267-2216 |
| Full Name | Pearle Vision |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 17134 Bulverde Rd Ste 107, 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 |
|---|---|---|---|
| 1619616778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nancy Marie Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366682882 PECOS PAC ID: 5496747115 Enrollment ID: I20191003001859 |
| Provider Name | Kenney Harold Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851379739 PECOS PAC ID: 3971733205 Enrollment ID: I20220825000234 |
| Provider Name | James Elledge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710993241 PECOS PAC ID: 4082098009 Enrollment ID: I20231012003480 |
| Mailing Address | Practice Location Address |
|---|---|
| Pearle Vision 17134 Bulverde Rd Ste 107, San Antonio, TX 78247-2190 Ph: (210) 267-2686 | Pearle Vision 17134 Bulverde Rd Ste 107, San Antonio, TX 78247-2190 Ph: (210) 267-2686 |
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