Provider Demographics
NPI:1538674742
Name:SHARP EYE CONSULTANTS, P.A.
Entity Type:Organization
Organization Name:SHARP EYE CONSULTANTS, P.A.
Other - Org Name:SHARP EYE OPTICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIDALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-496-9803
Mailing Address - Street 1:PO BOX 12564
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-0564
Mailing Address - Country:US
Mailing Address - Phone:210-496-9803
Mailing Address - Fax:210-496-0313
Practice Address - Street 1:12702 TOEPPERWEIN RD STE 121
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:TX
Practice Address - Zip Code:78233-3208
Practice Address - Country:US
Practice Address - Phone:210-650-3138
Practice Address - Fax:210-590-3458
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SHARP EYE CONSULTANTS, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-12-11
Last Update Date:2017-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies