Provider Demographics
NPI:1558792978
Name:EYES ON TEXAS VISION CARE, PLLC
Entity Type:Organization
Organization Name:EYES ON TEXAS VISION CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-826-1720
Mailing Address - Street 1:1441 CONTOUR DR APT 831
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-1267
Mailing Address - Country:US
Mailing Address - Phone:210-826-1720
Mailing Address - Fax:210-826-1792
Practice Address - Street 1:4331 THOUSAND OAKS DR
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78217-2101
Practice Address - Country:US
Practice Address - Phone:210-826-1720
Practice Address - Fax:210-826-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2020-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty