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Organization
SAN JACINTO PROFESSIONAL OPTICAL, INC
Active
Organization
SAN JACINTO PROFESSIONAL OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN J ARISCO MD (PRESIDENT)
(281) 427-1147
Entity
Organization
Contact information
Practice address
4301 GARTH RD, SUITE 103, BAYTOWN, TX 77521-3153
(281) 427-1147
(281) 422-4959
Mailing address
4301 GARTH RD, SUITE 103, BAYTOWN, TX 77521-3153
(281) 427-1147
(281) 422-4959
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
Primary
CP00264
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4674
DAVIS VISION ID #
TX
01
—
84761
SPECTERA IDENTIFICATION#
TX
Enumeration date
01/30/2007
Last updated
08/22/2020
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