Organization
LAKEWAY VISION ASSOCIATES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS SHERRY FLETHER (OFFICE MANAGER)
(512) 263-9970
Entity
Organization
Contact information
Practice address
1700A RR 620 S # A, LAKEWAY, TX 78734-6226
(512) 263-9970
Mailing address
1700A RR 620 S # A, LAKEWAY, TX 78734-6226
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0059FC
BCBS
—
Enumeration date
12/03/2007
Last updated
02/25/2014
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