San Jacinto Professional Optical, Inc in Baytown - Contact Lens

San Jacinto Professional Optical, Inc - NPI 1316083736

San Jacinto Professional Optical, Inc is a Contact Lens in Baytown, Texas. San Jacinto Professional Optical, Inc practices all healthcare services and medical treatments related to Contact Lens. The NPI Number for San Jacinto Professional Optical, Inc is 1316083736. The last update date is 2020-08-22.

San Jacinto Professional Optical, Inc's current location address is 4301 Garth Rd, Baytown, Texas. You can contact this provider via phone number 2814271147 and fax number 2814224959. The mailing address for San Jacinto Professional Optical, Inc is 4301 Garth Rd, Baytown, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization San Jacinto Professional Optical, Inc
Address 4301 Garth Rd, Baytown, Texas
Phone Number 2814271147
Fax Number 2814224959
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Arisco J Martin
Credentials MD
Telephone Number 2814271147

NPI Number Detail

NPI Number 1316083736
Provider Enumeration Date 2007-01-30
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 4301 Garth Rd
City Baytown
State Texas (TX)
Post Code 775213153
Phone Number 2814271147
Fax Number 2814224959

Provider's Primary Taxonomy Detail

Speciality Contact Lens
Taxonomy 156Fc0800X
Licence No CP00264
Definition:
An optician or other ancillary support staff person who, where authorized by state law and trained or certified to do so, may fit or dispense contact lenses to a patient based on the prescription of an optometrist or medical physician.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4674 TX DAVIS VISION ID #
84761 TX SPECTERA IDENTIFICATION#

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FAQs about San Jacinto Professional Optical, Inc

What is the unique provider identifier assigned to San Jacinto Professional Optical, Inc?

The San Jacinto Professional Optical, Inc has been issued the NPI (National Provider Identifier) 1316083736 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of San Jacinto Professional Optical, Inc?

The San Jacinto Professional Optical, Inc is physically situated at 4301 Garth Rd, in the city of Baytown, state of TX, with the postal code 775213153.

What is San Jacinto Professional Optical, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The San Jacinto Professional Optical, Inc's area of specialization is Contact Lens, and the corresponding taxonomy code that categorizes this field of practice is 156Fc0800X.

When did San Jacinto Professional Optical, Inc receive its 1316083736 assignment?

The San Jacinto Professional Optical, Inc was assigned its 1316083736 on 2007-01-30, which is the date when this unique identifier was issued to the organization.

When was the information regarding San Jacinto Professional Optical, Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to San Jacinto Professional Optical, Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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