| NPI | 1265923361 |
|---|---|
| Doing Business As | EYES ON MAIN |
| Entity Type | Organization |
| Authorized Contact | LOREN KATHRYN RODGERS Optometrist 210-861-2011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9411T) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 9411T) |
| 152WV0400X Optometrist, Vision Therapy (Licence: TX 9411T) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-06-20 |