Provider Demographics
NPI:1659726974
Name:AU VISION PLLC
Entity Type:Organization
Organization Name:AU VISION PLLC
Other - Org Name:LIFETIME FAMILY EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:URCHNA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MORAR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-982-3225
Mailing Address - Street 1:9310 GUILBEAU ROAD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250
Mailing Address - Country:US
Mailing Address - Phone:210-660-8105
Mailing Address - Fax:
Practice Address - Street 1:9310 GUILBEAU RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78250-3035
Practice Address - Country:US
Practice Address - Phone:210-982-3225
Practice Address - Fax:210-579-6704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2019-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8025-TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty