Provider Demographics
NPI:1003334202
Name:ISMAILY EYE CARE PLLC
Entity Type:Organization
Organization Name:ISMAILY EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:REHNA
Authorized Official - Middle Name:KIRAN
Authorized Official - Last Name:ISMAILY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-973-6885
Mailing Address - Street 1:4096 N FOSTER RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78244-1874
Mailing Address - Country:US
Mailing Address - Phone:210-973-6885
Mailing Address - Fax:210-610-5098
Practice Address - Street 1:4096 N FOSTER RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78244-1874
Practice Address - Country:US
Practice Address - Phone:210-973-6885
Practice Address - Fax:210-610-5098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-07
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8306TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty