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1265633119
OPTICAL HEADQUARTERS
SAN ANTONIO, TX
NPI
1265633119
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Entity Type
Organization
Authorized Contact
LONNIE NEAL FUSSELL
Owner
210-735-3507
Organization Subpart ?
No
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2007-05-29
Last Update Date
2008-06-27
Business Address
OPTICAL HEADQUARTERS
1710 FREDERICKSBURG RD
SAN ANTONIO, TX 78201-5033
Phone number: 210-735-3507
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Mailing Address
OPTICAL HEADQUARTERS
1710 FREDERICKSBURG RD
SAN ANTONIO, TX 78201-5033
Phone number: 210-735-3507
Copy
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