# OPTICAL HEADQUARTERS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265633119
- **Authorized official:** MR. LONNIE NEAL FUSSELL (OWNER)
- **Authorized official phone:** (210) 735-3507

## Contact information

- **Practice address:** 1710 FREDERICKSBURG RD, SAN ANTONIO, TX 78201-5033
- **Practice address phone:** (210) 735-3507
- **Practice address fax:** (210) 735-1811
- **Mailing address:** 1710 FREDERICKSBURG RD, SAN ANTONIO, TX 78201-5033
- **Mailing address phone:** (210) 735-3507
- **Mailing address fax:** (210) 735-1811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 06/27/2008