Provider Demographics
NPI:1821756735
Name:EYE THEORY - STONE OAK
Entity Type:Organization
Organization Name:EYE THEORY - STONE OAK
Other - Org Name:EYE THEORY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NANCHERLA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-635-0050
Mailing Address - Street 1:115 N LOOP 1604 E STE 1103
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1399
Mailing Address - Country:US
Mailing Address - Phone:210-635-0050
Mailing Address - Fax:
Practice Address - Street 1:115 N LOOP 1604 E STE 1103
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1399
Practice Address - Country:US
Practice Address - Phone:210-635-0050
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-08
Last Update Date:2022-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary CareGroup - Multi-Specialty