| NPI | 1811560352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE SINGLETON Manager 210-347-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| 207W00000X Ophthalmology | |
| 332H00000X Eyewear Supplier (Equipment, not the service) | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2024-04-09 |