# MR MIKES 39.95 OPTICAL L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MR MIKES 39.95 OPTICAL L.L.C.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245622703
- **Legal business name:** MR MIKES 39.95 OPTICAL L.L.C.
- **Authorized official:** MR. NOAH YUCHNITZ (CEO)
- **Authorized official phone:** (210) 859-9826

## Contact information

- **Practice address:** 5755 NW LOOP 410, SUITE 105, SAN ANTONIO, TX 78238-2502
- **Practice address phone:** (210) 656-3995
- **Practice address fax:** (210) 257-8466
- **Mailing address:** 5755 N.W.LOOP 410, SUITE 105, SAN ANTONIO, TX 78238
- **Mailing address phone:** (210) 859-9826
- **Mailing address fax:** (210) 257-8466

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2015
- **Last updated:** 02/20/2015