| San Antonio Eyeworks Pllc | |
|
4553 N Loop 1604 W Ste 1225 San Antonio TX 78249-1365 | |
| (612) 554-6107 | |
| Not Available |
| Full Name | San Antonio Eyeworks Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4553 N Loop 1604 W Ste 1225, San Antonio, Texas |
| Authorized Official Name and Position | Samin Pezeshk (OD/OWNER) |
| Authorized Official Contact | 6125546107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Antonio Eyeworks Pllc 4553 N Loop 1604 W Ste 1225 San Antonio TX 78249-1365 Ph: (612) 554-6107 | San Antonio Eyeworks Pllc 4553 N Loop 1604 W Ste 1225 San Antonio TX 78249-1365 Ph: (612) 554-6107 |
| NPI Number | 1780050286 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 4789993924 |
|---|---|
| Medicare Enrollment ID | O20151029000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780050286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 8342 (Texas) | Primary |
| Provider Name | Samin Pezeshk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801024716 PECOS PAC ID: 9234283623 Enrollment ID: I20140205000516 |
| Provider Name | Jessica Marie Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891566873 PECOS PAC ID: 1850738568 Enrollment ID: I20240318001070 |
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