| NPI | 1386744332 |
|---|---|
| Doing Business As | VISION SOURCE |
| Entity Type | Organization |
| Authorized Contact | AGNES LORRAINE PALYS President Owner 210-431-0366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 2863TG) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TX 3863TG) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TX 2863TG) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2015-04-06 |