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Organization

DIETZ MCLEAN OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES MCLEAN (MANAGER/CO-OWNER)
(210) 490-1407
Entity
Organization

Contact information

Practice address
300 W BITTERS RD, SUITE 130, SAN ANTONIO, TX 78216-1691
(210) 490-1407
Mailing address
300 W BITTERS RD, SUITE 130, SAN ANTONIO, TX 78216-1691
(210) 490-1407

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086160101
TX
Enumeration date
10/04/2006
Last updated
06/10/2011
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