Provider Demographics
NPI:1154403541
Name:SHARP EYE CONSULTANTS, P.A.
Entity type:Organization
Organization Name:SHARP EYE CONSULTANTS, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:VIDALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-225-7183
Mailing Address - Street 1:PO BOX 12564
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-0564
Mailing Address - Country:US
Mailing Address - Phone:210-219-0132
Mailing Address - Fax:866-314-7426
Practice Address - Street 1:1900 N MAIN AVE STE 200
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-3942
Practice Address - Country:US
Practice Address - Phone:210-219-0132
Practice Address - Fax:866-314-7426
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019134802Medicaid
TX7891175OtherAETNA
TX3364062OtherBCBS