Provider Demographics
NPI:1609216282
Name:SABOL, JESLYN ROY (OD)
Entity Type:Individual
Prefix:
First Name:JESLYN
Middle Name:ROY
Last Name:SABOL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2018 CARTER LN
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2173
Mailing Address - Country:US
Mailing Address - Phone:512-658-3079
Mailing Address - Fax:
Practice Address - Street 1:2406 HUNTER RD STE 102
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5256
Practice Address - Country:US
Practice Address - Phone:512-754-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-27
Last Update Date:2018-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8234-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist