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RETINA SPECIALISTS OF SAN ANTONIO PLLC NPI 1457710592


NPI Information

NPI: 1457710592
Provider Name: RETINA SPECIALISTS OF SAN ANTONIO, PLLC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
303 E QUINCY ST
SUITE 100
SAN ANTONIO, TX
ZIP 78215
Phone: (210) 271-7648
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RETINA SPECIALISTS OF SAN ANTONIO, PLLC is an ophthalmology in San Antonio, TX. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. RETINA SPECIALISTS OF SAN ANTONIO, PLLC NPI is 1457710592. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

303 E QUINCY ST
SUITE 100
SAN ANTONIO, TX
ZIP 78215-918
Phone: (210) 271-7648
Fax: (210) 225-8184

The provider's authorized official is Charles D Brodrick .
The authorized official title is Owner and has the following contact phone number (210) 271-7648.

The enumeration date for this NPI number is 2/17/2016 and was last updated on 4/25/2017.


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
1207WX0107XOphthalmologyRetina SpecialistTEXASNo
2207W00000XOphthalmologyTEXASYes

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
1487542MEDICARE PINTEXAS
23583817-01MEDICAIDTEXAS

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

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