Vision Source
LBN: Agnes L Palys Od Pc
Vision Source is an health care organization with primary practice located at 4930 Evers Rd , San Antonio TX 78228. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Agnes L Palys Od Pc can be contacted via phone (210) 431-0366, or through Palys, Agnes Lorraine via phone (210) 431-0366.
Contact Information
Primary practice address
4930 Evers Rd
San Antonio TX 78228
Phone: (210) 431-0366
Fax: (210) 431-0379
Website:
Authorized official contact:
Name: Palys, Agnes Lorraine Doctor of Optometry (OD)
Phone: (210) 431-0366
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2863TG | Texas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3863TG | Texas |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2863TG | Texas |
Profile Details
| NPI number | 1386744332 |
|---|---|
| LBN Legal business name | Agnes L Palys Od Pc |
| DBA Doing business as | Vision Source |
| Authorized official | Palys, Agnes Lorraine Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Apr 6th, 2015 - about 9 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386744332 | NPPES |
| Texas | MEDICAID | 019303901 |
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