Provider Demographics
NPI:1851303267
Name:ABOUT EYES, INC
Entity Type:Organization
Organization Name:ABOUT EYES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:DULLNIG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:512-353-3303
Mailing Address - Street 1:221 N C M ALLEN PKWY
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:TX
Mailing Address - Zip Code:78666-5731
Mailing Address - Country:US
Mailing Address - Phone:512-353-3303
Mailing Address - Fax:513-396-5331
Practice Address - Street 1:221 N C M ALLEN PKWY
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:TX
Practice Address - Zip Code:78666-5731
Practice Address - Country:US
Practice Address - Phone:512-353-3303
Practice Address - Fax:513-396-5331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W885Medicare PIN
TX0653760001Medicare NSC