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Organization
ULTRAOPTIK LLC
Active
Organization
ULTRAOPTIK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TOMY STARCK MD (OWNER)
(210) 698-6785
Entity
Organization
Contact information
Practice address
6818 HEUERMANN RD, SAN ANTONIO, TX 78256-9603
(210) 698-6785
Mailing address
6818 HEUERMANN RD, SAN ANTONIO, TX 78256-9603
(210) 698-6785
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972641751
INDIVIDUAL NPI
TX
Enumeration date
08/09/2010
Last updated
08/31/2012
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