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FIDEL ALEXANDER PANTOJA OPTICIAN NPI 1124783881


NPI Information

NPI: 1124783881
Provider Name: FIDEL ALEXANDER PANTOJA, OPTICIAN
Classification: Eyewear Supplier - 332H00000X
Entity Type: Individual
Address:
1431 W WINNIPEG AVE
SAN ANTONIO, TX
ZIP 78225
Phone: (210) 580-3316
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Fidel Alexander Pantoja, OPTICIAN is an eyewear supplier in San Antonio, TX. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. Fidel Alexander Pantoja, OPTICIAN NPI is 1124783881. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1431 W WINNIPEG AVE
SAN ANTONIO, TX
ZIP 78225-244
Phone: (210) 580-3316

The enumeration date for this NPI number is 11/7/2021 and was last updated on 11/23/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1156FX1800XTechnician/TechnologistOptician192472TEXASNo
2332H00000XEyewear Supplier192472TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.