South Mall Optical

LBN: Victor F. Alvarado
South Mall Optical is an health care organization with primary practice located at 2310 Sw Military Dr Ste 501 , San Antonio TX 78224-1407. The organization recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as the primary health care specialty. Victor F. Alvarado can be contacted via phone (210) 922-1163, or through Alvarado, Victor F via phone (210) 922-1163.

Contact Information

Primary practice address
2310 Sw Military Dr Ste 501 San Antonio TX 78224-1407
Phone: (210) 922-1163
Fax: (210) 922-1776
Website:
Map and Directions
Authorized official contact:
Name: Alvarado, Victor F
Phone: (210) 922-1163

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X

Profile Details

NPI number 1699957860
LBN Legal business name Victor F. Alvarado
DBA Doing business as South Mall Optical
Authorized official Alvarado, Victor F
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2007
Last updated Jul 18th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699957860 NPPES
Texas MEDICAID 019650301

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