Provider Demographics
NPI:1528244704
Name:AMARO EYE CLINIC PLLC
Entity type:Organization
Organization Name:AMARO EYE CLINIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:E
Authorized Official - Last Name:AMARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-309-5175
Mailing Address - Street 1:305 E GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:DEL RIO
Mailing Address - State:TX
Mailing Address - Zip Code:78840-5109
Mailing Address - Country:US
Mailing Address - Phone:830-774-6167
Mailing Address - Fax:
Practice Address - Street 1:305 E GARFIELD ST
Practice Address - Street 2:
Practice Address - City:DEL RIO
Practice Address - State:TX
Practice Address - Zip Code:78840-5109
Practice Address - Country:US
Practice Address - Phone:830-774-6167
Practice Address - Fax:830-775-1457
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-17
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04421TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty