Provider Demographics
NPI:1063625598
Name:THE EYE CENTER OF UVALDE, PA
Entity type:Organization
Organization Name:THE EYE CENTER OF UVALDE, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:K
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:830-278-2597
Mailing Address - Street 1:931 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:UVALDE
Mailing Address - State:TX
Mailing Address - Zip Code:78801-4855
Mailing Address - Country:US
Mailing Address - Phone:830-278-2597
Mailing Address - Fax:830-278-4091
Practice Address - Street 1:931 E MAIN ST
Practice Address - Street 2:
Practice Address - City:UVALDE
Practice Address - State:TX
Practice Address - Zip Code:78801-4855
Practice Address - Country:US
Practice Address - Phone:830-278-2597
Practice Address - Fax:830-278-4091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-08
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4791TG332H00000X
TXTX4791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX208731402Medicaid
TX208731402Medicaid
TX0A0370Medicare PIN