1255475901 NPI number — AFTER HOURS OPTICAL INC.

Table of content: (NPI 1255475901)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255475901 NPI number — AFTER HOURS OPTICAL INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AFTER HOURS 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:
1255475901
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6766 INGRAM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN ANTONIO
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78238-4121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-680-3210
Provider Business Mailing Address Fax Number:
210-680-4210

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6766 INGRAM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78238-4121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-680-3210
Provider Business Practice Location Address Fax Number:
210-680-4210
Provider Enumeration Date:
02/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ
Authorized Official First Name:
TERESITA
Authorized Official Middle Name:
R
Authorized Official Title or Position:
CEO/PRESIDENT
Authorized Official Telephone Number:
210-680-3210

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0000000000 . This is a "EYETOPIA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 500168 . This is a "AVESIS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 934167 . This is a "BLOCK VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 53913 . This is a "DAVIS VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: SV53913 . This is a "SUPERIOR VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 24076 . This is a "NATIONAL VISION ADMINISTRATION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 38919 . This is a "MES VISION" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 74223 . This is a "FISERV HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: AH43779 . This is a "SPECTERA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 41507 . This is a "AVESIS" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: E12969862 . This is a "EYEMED VISION CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 63070 . This is a "SAFEGUARD" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: OP1979 . This is a "EYEMED VISION CARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 124978 . This is a "LOGISTICS HEALTH" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 0000000000 . This is a "SAN ANTONIO HEALTH ALLIANCE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 186124701 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: OP1979 . This is a "EYEMED" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1255475901 . This is a "OPTICARE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 332H00000X , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 43779 . This is a "SPECTERA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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