Provider Type Icon

CHILDREN'S EYE CENTER OF SOUTH TEXAS P.A. NPI 1982722005


NPI Information

NPI: 1982722005
Provider Name: CHILDREN'S EYE CENTER OF SOUTH TEXAS, P.A.
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D2137741

Address:
1314 E SONTERRA BLVD
SUITE 5201
SAN ANTONIO, TX
ZIP 78258
Phone: (210) 340-6633
Get Directions

CHILDREN'S EYE CENTER OF SOUTH TEXAS, P.A. is a specialist in San Antonio, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CHILDREN'S EYE CENTER OF SOUTH TEXAS, P.A. NPI is 1982722005. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1314 E SONTERRA BLVD
SUITE 5201
SAN ANTONIO, TX
ZIP 78258-290
Phone: (210) 340-6633
Fax: (210) 340-6390

The provider's authorized official is Charles Stewart Mccash .
The authorized official title is President and has the following contact phone number (210) 340-6633.

The CLIA number assigned to this NPI record is 45D2137741 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 3/27/2007 and was last updated on 6/21/2013.


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
1174400000XSpecialistJ4335TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100513UMEDICARE ID-TYPE UNSPECIFIED

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: 11/14/2023

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.