Provider Demographics
NPI:1336458017
Name:EYE-DEAL VISION, P.A.
Entity Type:Organization
Organization Name:EYE-DEAL VISION, P.A.
Other - Org Name:EYE-DEAL VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:ROGALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-861-7587
Mailing Address - Street 1:9822 POTRANCO RD STE 111
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78251-9608
Mailing Address - Country:US
Mailing Address - Phone:210-691-4733
Mailing Address - Fax:210-681-4735
Practice Address - Street 1:8202 N LOOP 1604 W STE 105
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2898
Practice Address - Country:US
Practice Address - Phone:210-691-4733
Practice Address - Fax:210-691-3322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EYE-DEAL VISION, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-09-29
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
00076ZMedicare PIN