Individual provider · NPI-1

Rickey Earl Goerges, Optician

Technician/Technologist, Ocularist · San Antonio, TX

NPI number1942461629
StatusActive
Last updated in NPPESJun 24, 2008

Details

NPI
1942461629
Entity type
Individual (NPI-1)
Name
Mr. Rickey Earl Goerges
Credential
Optician
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2008
Last updated
Jun 24, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Practice location

7826 Louis Pasteur Dr
San Antonio, TX 78229-3474

Phone 210-494-4009 · Fax 210-494-9838

Mailing address

7826 Louis Pasteur Dr
San Antonio, TX 78229-3474

Phone 210-494-4009 · Fax 210-494-9838

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