Provider Demographics
NPI:1356451124
Name:ROMO, VICTOR ARMANDO (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:VICTOR
Middle Name:ARMANDO
Last Name:ROMO
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 N MAIN AVE
Mailing Address - Street 2:M & S TOWER BLDG 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78205-1115
Mailing Address - Country:US
Mailing Address - Phone:210-212-2121
Mailing Address - Fax:210-212-2124
Practice Address - Street 1:730 N MAIN AVE
Practice Address - Street 2:M & S TOWER BLDG 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1115
Practice Address - Country:US
Practice Address - Phone:210-212-2121
Practice Address - Fax:210-212-2124
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Not Answered332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX27438OtherOPTICARE
TX67177OtherCSHCN
TX0876710001Medicare ID - Type Unspecified