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Organization

EYES OF TEXAS

Active
Other names
SouthWest Vision
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN C WILLIAMS (ASSISTANT MANAGER)
(512) 353-3977
Entity
Organization

Contact information

Practice address
901-C HIGHWAY 80, SAN MARCOS, TX 78666
(512) 353-3310
Mailing address
901-C HIGHWAY 80, SAN MARCOS, TX 78666

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01442
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0035FB
BLUE CROSS BLUE SHIELD ID
TX
01
118313
EYEMED PROVIDER ID
TX
01
3301998
AENTNA PROVIDER ID
TX
Enumeration date
08/16/2006
Last updated
08/22/2020
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