Organization
EYEMASTERS INC
Active
Other names
EyeMasters
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG NEWCOM (OFFICER)
(210) 524-6700
Entity
Organization
Contact information
Practice address
1200 E COUNTY LINE RD, SUITE 259, RIDGELAND, MS 39157-1904
(601) 977-9417
(601) 957-0543
Mailing address
11103 WEST AVENUE, SUITE #6, SAN ANTONIO, TX 78213
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0880178
—
MS
Enumeration date
10/11/2006
Last updated
07/29/2008
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