Provider Demographics
NPI:1851744825
Name:CUMMINGS, ERIK PATRICK (OD)
Entity Type:Individual
Prefix:DR
First Name:ERIK
Middle Name:PATRICK
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6419 W LOOP 1604 N STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78254-5764
Mailing Address - Country:US
Mailing Address - Phone:726-888-6318
Mailing Address - Fax:
Practice Address - Street 1:6419 W LOOP 1604 N STE 104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78254-5764
Practice Address - Country:US
Practice Address - Phone:726-888-6318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-14
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8986TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist