Organization
DR. BEARDSLEY'S SUPER OPTICAL, INC.
Active
Other names
DR. BEARDSLEY'S SUPER CLINIC, INC
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN E CERDA O.D. (OWNER/PROVIDER)
(956) 783-5500
Entity
Organization
Contact information
Practice address
317 S BROADWAY ST, MCALLEN, TX 78501-4801
(956) 686-7435
(956) 686-6956
Mailing address
317 S BROADWAY ST, MCALLEN, TX 78501-4801
(956) 686-7435
(956) 686-6956
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189363801
—
TX
Enumeration date
04/12/2006
Last updated
02/15/2021
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