# SAN JACINTO PROFESSIONAL OPTICAL, INC

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

## Provider details

- **NPI number:** 1316083736
- **Authorized official:** DR. MARTIN J ARISCO MD (PRESIDENT)
- **Authorized official phone:** (281) 427-1147

## Contact information

- **Practice address:** 4301 GARTH RD, SUITE 103, BAYTOWN, TX 77521-3153
- **Practice address phone:** (281) 427-1147
- **Practice address fax:** (281) 422-4959
- **Mailing address:** 4301 GARTH RD, SUITE 103, BAYTOWN, TX 77521-3153
- **Mailing address phone:** (281) 427-1147
- **Mailing address fax:** (281) 422-4959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FC0800X | Contact Lens Technician/Technologist | CP00264 | TX | Yes |

## Other

- **Enumeration date:** 01/30/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4674 | DAVIS VISION ID \# | TX |
| 01 | — | 84761 | SPECTERA IDENTIFICATION\# | TX |