Provider Demographics
NPI:1255723433
Name:ALMANZA FAMILY EYECARE LLC
Entity type:Organization
Organization Name:ALMANZA FAMILY EYECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BARONDES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-659-3937
Mailing Address - Street 1:791 FM 1103
Mailing Address - Street 2:SUITE 115
Mailing Address - City:CIBOLO
Mailing Address - State:TX
Mailing Address - Zip Code:78108-3504
Mailing Address - Country:US
Mailing Address - Phone:210-659-3937
Mailing Address - Fax:210-659-1884
Practice Address - Street 1:791 FM 1103
Practice Address - Street 2:SUITE 115
Practice Address - City:CIBOLO
Practice Address - State:TX
Practice Address - Zip Code:78108-3504
Practice Address - Country:US
Practice Address - Phone:210-659-3937
Practice Address - Fax:210-659-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2015-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7899 TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty