Individual
DR. JAMES B ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD, MBA, FAAO
Contact information
Practice address
17134 BULVERDE RD STE 107, SAN ANTONIO, TX 78247-2190
(210) 267-2686
(210) 267-2216
Mailing address
17134 BULVERDE RD STE 107, SAN ANTONIO, TX 78247-2190
(210) 267-2686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
006941
NY
152W00000X
Optometrist
Primary
T03341
MO
Other
Enumeration date
08/01/2006
Last updated
05/18/2023
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