Organization
SAN ANTONIO EYE CENTER PA
Active
Other names
Harris Optical Northside
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA S PAYNE (ADMINISTRATOR)
(210) 242-7555
Entity
Organization
Contact information
Practice address
14807 SAN PEDRO AVE, SAN ANTONIO, TX 78232-3708
(210) 495-2020
Mailing address
800 MCCULLOUGH, SAN ANTONIO, TX 78215-1625
(210) 226-6169
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020132901
—
TX
Enumeration date
03/23/2006
Last updated
04/30/2008
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