Provider Demographics
NPI:1710026620
Name:ALL ABOUT EYES, PA
Entity Type:Organization
Organization Name:ALL ABOUT EYES, PA
Other - Org Name:STONE OAK VISION SOURCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:LINETTE
Authorized Official - Last Name:ALLISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-495-9020
Mailing Address - Street 1:19202 STONE OAK PKWY
Mailing Address - Street 2:STE. 106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3286
Mailing Address - Country:US
Mailing Address - Phone:210-495-9020
Mailing Address - Fax:210-495-9398
Practice Address - Street 1:19202 STONE OAK PKWY
Practice Address - Street 2:STE. 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3286
Practice Address - Country:US
Practice Address - Phone:210-495-9020
Practice Address - Fax:210-495-9398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00240WMedicare ID - Type Unspecified