Provider Demographics
NPI:1497049159
Name:HINDSIGHT 20/20 EYECARE
Entity Type:Organization
Organization Name:HINDSIGHT 20/20 EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ONOFRE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-331-8981
Mailing Address - Street 1:104 MEDICAL DR.
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006
Mailing Address - Country:US
Mailing Address - Phone:830-331-8981
Mailing Address - Fax:830-331-8983
Practice Address - Street 1:104 MEDICAL DR.
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006
Practice Address - Country:US
Practice Address - Phone:830-331-8981
Practice Address - Fax:830-331-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-30
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6760TG152W00000X
TX6852TG152W00000X
152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXV08496Medicare UPIN