Provider Demographics
NPI:1467613018
Name:UPPER VALLEY EYE SITE
Entity Type:Organization
Organization Name:UPPER VALLEY EYE SITE
Other - Org Name:MCALLEN EYE SITE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:SALDANA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-687-4011
Mailing Address - Street 1:2200 TRENTON RD
Mailing Address - Street 2:SUITE 2B
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6354
Mailing Address - Country:US
Mailing Address - Phone:956-687-4011
Mailing Address - Fax:956-687-4611
Practice Address - Street 1:2200 TRENTON RD
Practice Address - Street 2:SUITE 2B
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-6354
Practice Address - Country:US
Practice Address - Phone:956-687-4011
Practice Address - Fax:956-687-4611
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UPPER VALLEY EYE SITE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-06-17
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX81016QOtherBCBS PROVIDER NUMBER
TX81016QOtherBCBS PROVIDER NUMBER
TXU98991Medicare UPIN
TX00317WMedicare PIN