NPI 1265633119
Optical Headquarters
Practice location
- Address
- 1710 Fredericksburg Rd, San Antonio, TX 78201-5033
- Phone
- (210) 735-3507
- Fax
- (210) 735-1811
Authorised official
- Name
- Lonnie Neal Fussell
- Title
- Owner
- Phone
- (210) 735-3507
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1265633119
- Entity type
- Organization
- NPI issued
- 29 May 2007
- Record last updated
- 27 Jun 2008
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.