Provider Demographics
NPI:1194018150
Name:MAREDIA FAMILY EYECARE, PLLC
Entity Type:Organization
Organization Name:MAREDIA FAMILY EYECARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPEUTIC OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAZIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:MAREDIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-773-7262
Mailing Address - Street 1:1603 VANCE JACKSON RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-4470
Mailing Address - Country:US
Mailing Address - Phone:210-732-3200
Mailing Address - Fax:210-731-9089
Practice Address - Street 1:1603 VANCE JACKSON RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-4470
Practice Address - Country:US
Practice Address - Phone:210-732-3200
Practice Address - Fax:210-731-9089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-24
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty