Individual
EDDY CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1900 N MAIN AVE, SUITE 200, SAN ANTONIO, TX 78212-3942
(210) 225-7183
(210) 212-6659
Mailing address
PO BOX 12564, SAN ANTONIO, TX 78212-0564
(210) 496-9803
(210) 496-0313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
06578TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1048170
BLUE LINK
TX
05
—
174039101
—
TX
01
—
4257770001
CIGNA FLEX POS
TX
01
—
4257770002
CIGNA COM HMO
TX
01
—
7122674
AETNA
TX
01
—
7891175
AETNA - GROUP ID
TX
01
—
81313Q
BLUE CROSS BLUE SHIELD
TX
01
—
8D5275
MEDICARE
TX
Enumeration date
07/26/2006
Last updated
05/10/2024
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