Organization
E & S MANAGEMENT LLC
Active
Other names
My Eye Lab
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE BENNETT (CREDENTIALING SPECIALIST)
(561) 433-6009
Entity
Organization
Contact information
Practice address
1803 VANCE JACKSON RD STE 408, SAN ANTONIO, TX 78213-4477
(210) 774-5394
(561) 828-8367
Mailing address
3008 DAWN DR STE 105, GEORGETOWN, TX 78628-2822
(561) 275-2020
(561) 828-8367
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
07/24/2018
Last updated
02/19/2021
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