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Organization

J & A VISION CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOSE ECHEVARRIA (O.D.)
(361) 592-6443
Entity
Organization

Contact information

Practice address
219 W KLEBERG AVE, KINGSVILLE, TX 78363-4427
(361) 592-6443
Mailing address
219 W KLEBERG AVE, KINGSVILLE, TX 78363-4427

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6329T
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0015FG
BLUECROSS BLUESHIELD
TX
01
218942
EYEMED
TX
01
28842
SPECTERA
TX
01
30215
OPTICARE
TX
Enumeration date
02/21/2007
Last updated
04/09/2008
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