Organization
MR MIKES 39.95 OPTICAL L.L.C.
Active
Parent organization
MR MIKES 39.95 OPTICAL L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MR MIKES 39.95 OPTICAL L.L.C.
Authorized official
MR. NOAH YUCHNITZ (CEO)
(210) 859-9826
Entity
Organization
Contact information
Practice address
5755 NW LOOP 410, SUITE 105, SAN ANTONIO, TX 78238-2502
(210) 656-3995
(210) 257-8466
Mailing address
5755 N.W.LOOP 410, SUITE 105, SAN ANTONIO, TX 78238
(210) 859-9826
(210) 257-8466
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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