University Of The Incarnate Word
Optometrist in San Antonio, TX. Organization (NPI-2).
NPI number1003129784
StatusActive
Last updated in NPPESAug 9, 2022
Details
- NPI
- 1003129784
- Entity type
- Organization (NPI-2)
- Legal business name
- University Of The Incarnate Word
- Organization subpart
- No
- Enumeration date
- Jul 22, 2010
- Certification date
- Aug 9, 2022
- Last updated
- Aug 9, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
| 156FX1800X | Technician/Technologist, Optician | – | – | |
| 152WL0500X | Optometrist, Low Vision Rehabilitation | – | – | |
| 152WP0200X | Optometrist, Pediatrics | – | – | |
| 152WS0006X | Optometrist, Sports Vision | – | – | |
| 152WV0400X | Optometrist, Vision Therapy | – | – | |
| 152WX0102X | Optometrist, Occupational Vision | – | – |
Other names
- Eye & Vision Care Clinic (Doing Business As)
Practice location
9725 Datapoint DrSan Antonio, TX 78229-2384
Phone 210-883-1194
Mailing address
9725 Datapoint Dr # 69San Antonio, TX 78229-2384
Phone 210-805-2540
Authorized official
Nekima Williams
Assistant Dean For Clinical Affairs
2102836827
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