Provider Demographics
NPI:1306921630
Name:NEVELOW, ERIN MICHELLE (OD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:MICHELLE
Last Name:NEVELOW
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:19190 STONE OAK PKWY
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3237
Mailing Address - Country:US
Mailing Address - Phone:210-349-2437
Mailing Address - Fax:210-494-1633
Practice Address - Street 1:19190 STONE OAK PKWY
Practice Address - Street 2:SUITE 120
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78258-3237
Practice Address - Country:US
Practice Address - Phone:210-349-2437
Practice Address - Fax:210-494-1633
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX6756TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX342050594OtherUNITED HEALTH CARE
TX192123101Medicaid
TX0031FHOtherBLUE CROSS BLUE SHIELD OF TEXAS
TX612180Medicare PIN
TXV08070Medicare UPIN