Provider Demographics
NPI:1609645357
Name:ENHANCE VISION CARE PLLC
Entity Type:Organization
Organization Name:ENHANCE VISION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAGHAMI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-862-7853
Mailing Address - Street 1:6301 NW LOOP 410 STE 21A
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78238-3852
Mailing Address - Country:US
Mailing Address - Phone:210-680-6097
Mailing Address - Fax:
Practice Address - Street 1:7400 SAN PEDRO AVE STE 486A
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8312
Practice Address - Country:US
Practice Address - Phone:210-541-0008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care