Provider Demographics
NPI:1578346037
Name:INTEGRO EYE PLLC
Entity Type:Organization
Organization Name:INTEGRO EYE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-526-2020
Mailing Address - Street 1:27650 INTERSTATE 10 W STE 110
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-2560
Mailing Address - Country:US
Mailing Address - Phone:210-526-2020
Mailing Address - Fax:210-682-9677
Practice Address - Street 1:27650 INTERSTATE 10 W STE 110
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-2560
Practice Address - Country:US
Practice Address - Phone:210-526-2020
Practice Address - Fax:210-682-9677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-17
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty