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Organization
RIVER CITY EYECARE
Active
Organization
RIVER CITY EYECARE
Active
Other names
Texas State Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDRA KAY FORTENBERRY O.D. (OWNER)
(210) 417-4177
Entity
Organization
Contact information
Practice address
9234 N LOOP 1604 W, #104, SAN ANTONIO, TX 78249-2983
(210) 417-4177
(210) 417-4178
Mailing address
9234 N LOOP 1604 W, #104, SAN ANTONIO, TX 78249-2983
(210) 417-4177
(210) 417-4178
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7062T
TX
152WC0802X
Corneal and Contact Management Optometrist
7062T
TX
152WL0500X
Low Vision Rehabilitation Optometrist
7062T
TX
152WP0200X
Pediatric Optometrist
7062T
TX
152WS0006X
Sports Vision Optometrist
7062T
TX
152WV0400X
Vision Therapy Optometrist
7062T
TX
152WX0102X
Occupational Vision Optometrist
7062T
TX
156F00000X
Technician/Technologist
7062T
TX
156FC0800X
Contact Lens Technician/Technologist
7062T
TX
156FC0801X
Contact Lens Fitter
7062T
TX
156FX1100X
Ophthalmic Technician/Technologist
7062T
TX
156FX1101X
Ophthalmic Assistant
7062T
TX
156FX1202X
Optometric Technician
7062T
TX
156FX1700X
Ocularist
7062T
TX
156FX1800X
Optician
7062T
TX
Other
Enumeration date
09/03/2012
Last updated
11/05/2014
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