Organization
THOMPSON OCULAR PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JEAN THOMPSON BCO (PRESIDENT BOARD CERTIFIED OCULARI)
(210) 223-3754
Entity
Organization
Contact information
Practice address
4118 MCCULLOUGH, SUITE 16, SAN ANTONIO, TX 78212-5712
(210) 223-3754
(210) 223-1949
Mailing address
4118 MCCULLOUGH AVE, SUITE 16, SAN ANTONIO, TX 78212-1979
(210) 223-3754
(210) 223-1949
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
TX
335E00000X
Prosthetic/Orthotic Supplier
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087068501
—
TX
01
—
513442
BLUECROSS BLUESHEILD
TX
Enumeration date
05/22/2006
Last updated
08/08/2013
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