Organization
BALCONES EYE CENTER, PA
Active
Other names
CENTRAL TEXAS OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID HOUSE (ADMINISTRATOR)
(512) 396-1500
Entity
Organization
Contact information
Practice address
1300 WONDER WORLD DR, SAN MARCOS, TX 78666-7575
(512) 353-1300
(512) 353-5135
Mailing address
1300 WONDER WORLD DR, SAN MARCOS, TX 78666-7575
(512) 353-1300
(512) 353-5135
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
VMS000026
—
TX
Enumeration date
09/12/2006
Last updated
08/22/2020
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