Organization
MR MIKES 3995 OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOAH MICHAEL YUCHNITZ (PRESIDENT)
(210) 656-3995
Entity
Organization
Contact information
Practice address
5755 NW LOOP 410, STE. 105, SAN ANTONIO, TX 78238-2502
(210) 656-3995
Mailing address
5755 NW LOOP 410, STE. 105, SAN ANTONIO, TX 78238-2502
(210) 656-3995
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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