Provider Demographics
NPI:1255475901
Name:AFTER HOURS OPTICAL INC.
Entity Type:Organization
Organization Name:AFTER HOURS OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TERESITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:OPTICIAN
Authorized Official - Phone:210-680-3210
Mailing Address - Street 1:6766 INGRAM RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-4121
Mailing Address - Country:US
Mailing Address - Phone:210-680-3210
Mailing Address - Fax:210-680-4210
Practice Address - Street 1:6766 INGRAM RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78238-4121
Practice Address - Country:US
Practice Address - Phone:210-680-3210
Practice Address - Fax:210-680-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0000000000OtherEYETOPIA
TX500168OtherAVESIS
TX934167OtherBLOCK VISION
TX53913OtherDAVIS VISION
TXSV53913OtherSUPERIOR VISION
TX24076OtherNATIONAL VISION ADMINISTRATION
TX38919OtherMES VISION
TX74223OtherFISERV HEALTH
TXAH43779OtherSPECTERA
TX41507OtherAVESIS
TXE12969862OtherEYEMED VISION CARE
TX63070OtherSAFEGUARD
TXOP1979OtherEYEMED VISION CARE
TX124978OtherLOGISTICS HEALTH
TX0000000000OtherSAN ANTONIO HEALTH ALLIANCE
TX186124701Medicaid
TXOP1979OtherEYEMED
TX1255475901OtherOPTICARE
TX332H00000XMedicaid
TX43779OtherSPECTERA