Provider Demographics
NPI:1164095824
Name:MEANS, GENEVA (OD)
Entity Type:Individual
Prefix:MRS
First Name:GENEVA
Middle Name:
Last Name:MEANS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 N LOOP 1604 W STE 200
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2230
Mailing Address - Country:US
Mailing Address - Phone:210-822-9800
Mailing Address - Fax:210-822-9810
Practice Address - Street 1:2810 N LOOP 1604 W STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2230
Practice Address - Country:US
Practice Address - Phone:210-822-9800
Practice Address - Fax:210-822-9800
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10229152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist