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Organization

EYE DOCTORS OF SOUTH TEXAS, PLLC

Active
Other names
Vista Vision
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TONI WYNN RACOMA O.D. (MANAGING MEMBER)
(609) 312-1115
Entity
Organization

Contact information

Practice address
427 N LOOP 1604 W, SUITE 203, SAN ANTONIO, TX 78232-1033
(210) 960-5494
(210) 960-2261
Mailing address
427 N LOOP 1604 W, STE 203, SAN ANTONIO, TX 78232-1033
(210) 960-5494
(210) 960-2261

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8129TG
TX
152WC0802X
Corneal and Contact Management Optometrist
8129TG
TX
152WL0500X
Low Vision Rehabilitation Optometrist
8129TG
TX
152WP0200X
Pediatric Optometrist
8129TG
TX
152WS0006X
Sports Vision Optometrist
8129TG
TX
152WV0400X
Vision Therapy Optometrist
8129TG
TX
152WX0102X
Occupational Vision Optometrist
8129TG
TX

Other

Enumeration date
09/19/2016
Last updated
12/29/2016
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