Organization
EYECARE OF TEXAS PC
Active
Other names
Eycare of Texas PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK WAYNE ROUNTREE JR. OD (OWNER)
(210) 520-0051
Entity
Organization
Contact information
Practice address
5025 NW LOOP 410, SAN ANTONIO, TX 78229-5313
(210) 520-0051
(210) 520-0347
Mailing address
5025 NW LOOP 410, SAN ANTONIO, TX 78229-5313
(210) 520-0051
(210) 520-0347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7076TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216421202
—
TX
Enumeration date
09/05/2008
Last updated
07/13/2022
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