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Organization
VISION CENTRAL LLC
Active
Organization
VISION CENTRAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL A TREVINO OD (PRESIDENT)
(210) 735-5440
Entity
Organization
Contact information
Practice address
7959 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3430
(210) 735-5440
(210) 342-2039
Mailing address
7959 FREDERICKSBURG RD, SAN ANTONIO, TX 78229-3430
(210) 735-5440
(210) 342-2039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04162T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04162T
TEXAS OPTOMETRY LICENSE
TX
05
—
140707401
—
TX
Enumeration date
09/25/2008
Last updated
09/25/2008
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