MOCKINGBIRD OPTICAL SHOP LLC NPI 1194728337

NPI Information

MOCKINGBIRD OPTICAL SHOP LLC is a customized equipment durable medical equipment medical supplies in San Antonio, TX. MOCKINGBIRD OPTICAL SHOP LLC NPI is 1194728337. The provider is registered as an organization entity type.

The provider's business location address is:

5430 FREDERICKSBURG RD
STE 100
SAN ANTONIO, TX
ZIP 78229-539
Phone: (210) 340-1212
Fax: (210) 525-9617

The provider's authorized official is Jay C. Collins .
The authorized official title is Administrator and has the following contact phone number (210) 340-1212.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 2/27/2015.

Taxonomy Codes

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Other Identifiers

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