Provider Demographics
NPI:1477560407
Name:WEBB EYE ASSOCIATES, PA
Entity Type:Organization
Organization Name:WEBB EYE ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:L
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-333-4340
Mailing Address - Street 1:1720 S WW WHITE RD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78220-4760
Mailing Address - Country:US
Mailing Address - Phone:210-333-4340
Mailing Address - Fax:210-333-4357
Practice Address - Street 1:1720 S WW WHITE RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78220-4760
Practice Address - Country:US
Practice Address - Phone:210-333-4340
Practice Address - Fax:210-333-4357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-02
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX158583801Medicaid
TXDQ2124Medicare PIN
TX00541TMedicare PIN
TXU78471Medicare UPIN
TX158583801Medicaid