Provider Demographics
NPI:1780728790
Name:OPHTHALMOLOGY ASSOCIATES OF SAN ANTONIO DBA I.WEAR BY OASA
Entity type:Organization
Organization Name:OPHTHALMOLOGY ASSOCIATES OF SAN ANTONIO DBA I.WEAR BY OASA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPAGNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:2102-233-5561
Mailing Address - Street 1:1804 NE LOOP 410
Mailing Address - Street 2:270
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78217-5215
Mailing Address - Country:US
Mailing Address - Phone:210-829-8781
Mailing Address - Fax:210-930-3112
Practice Address - Street 1:414 NAVARRO ST
Practice Address - Street 2:401
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-2516
Practice Address - Country:US
Practice Address - Phone:210-225-5340
Practice Address - Fax:210-225-5716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0575010002Medicare NSC