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Organization
UNIVERSITY OF THE INCARNATE WORD
Active
Organization
UNIVERSITY OF THE INCARNATE WORD
Active
Other names
Eye & Vision Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEKIMA WILLIAMS OD (ASSISTANT DEAN FOR CLINICAL AFFAIRS)
(210) 283-6827
Entity
Organization
Contact information
Practice address
9725 DATAPOINT DR, SAN ANTONIO, TX 78229-2384
(210) 883-1194
Mailing address
9725 DATAPOINT DR # 69, SAN ANTONIO, TX 78229-2384
(210) 805-2540
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
156FX1800X
Optician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
283977101
—
TX
Enumeration date
07/22/2010
Last updated
08/09/2022
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