Provider Demographics
NPI:1245074459
Name:BEXAR EYE CARE PLLC
Entity type:Organization
Organization Name:BEXAR EYE CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROGALINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-429-7063
Mailing Address - Street 1:8010 W 5TH ST STE 3
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:TX
Mailing Address - Zip Code:78069-2262
Mailing Address - Country:US
Mailing Address - Phone:830-429-7063
Mailing Address - Fax:
Practice Address - Street 1:8010 W 5TH ST STE 3
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:TX
Practice Address - Zip Code:78069-2262
Practice Address - Country:US
Practice Address - Phone:830-429-7063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX5750OtherTEXAS OPTOMETRY BOARD LICENSE NUMBER