Provider Demographics
NPI:1932843943
Name:CLM EYECARE PLLC
Entity Type:Organization
Organization Name:CLM EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHANDLER
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:MANN
Authorized Official - Suffix:II
Authorized Official - Credentials:OD
Authorized Official - Phone:713-501-8907
Mailing Address - Street 1:20079 STONE OAK PKWY STE 1104
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-6943
Mailing Address - Country:US
Mailing Address - Phone:713-501-8907
Mailing Address - Fax:
Practice Address - Street 1:20079 STONE OAK PKWY STE 1104
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-6943
Practice Address - Country:US
Practice Address - Phone:713-501-8907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty