Individual
EMIKO VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10601 PECAN PARK BLVD STE 201, AUSTIN, TX 78750-1325
(512) 402-6136
Mailing address
19090 RAVENSWOOD CT, MORGAN HILL, CA 95037-9040
(510) 896-9404
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
100096T
TX
152W00000X
Optometrist
OPT34555TLG
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/06/2020
Last updated
08/17/2020
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