1639357833 NPI number — STONE OAK OPTICAL INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639357833 NPI number — STONE OAK OPTICAL INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
STONE OAK OPTICAL INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639357833
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/07/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
325 EAST SONTERRA BLVD
Provider Second Line Business Mailing Address:
SUITE # 100
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78258-4054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-490-6759
Provider Business Mailing Address Fax Number:
210-490-6507

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
325 E SONTERRA BLVD
Provider Second Line Business Practice Location Address:
SUITE # 100
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78258-4054
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-490-6759
Provider Business Practice Location Address Fax Number:
210-490-6507
Provider Enumeration Date:
02/11/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
HOLT
Authorized Official First Name:
JEAN
Authorized Official Middle Name:
EDWARD
Authorized Official Title or Position:
M.D. VICE PRESIDENT
Authorized Official Telephone Number:
210-490-6759

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  179450001 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)