Organization
CUSTOM QUALITY OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY MATTHEW REAVIS OPTICIAN (OWNER)
(210) 945-9226
Entity
Organization
Contact information
Practice address
1632 PAT BOOKER RD, SUITE 124, UNIVERSAL CITY, TX 78148-3552
(210) 945-9226
(210) 566-5914
Mailing address
1632 PAT BOOKER RD, SUITE 124, UNIVERSAL CITY, TX 78148-3552
(210) 945-9226
(210) 566-5914
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
08/22/2020
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