Provider Demographics
NPI:1922394691
Name:DK EYECARE, P.C.
Entity Type:Organization
Organization Name:DK EYECARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:DAM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-767-1717
Mailing Address - Street 1:8923 W MILITARY DR STE 109
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78245-2102
Mailing Address - Country:US
Mailing Address - Phone:210-767-1717
Mailing Address - Fax:210-767-1817
Practice Address - Street 1:8923 W MILITARY DR STE 109
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78245-2102
Practice Address - Country:US
Practice Address - Phone:210-767-1717
Practice Address - Fax:210-767-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty