Provider Demographics
NPI:1558792978
Name:EYES ON TEXAS VISION CARE, PLLC
Entity type:Organization
Organization Name:EYES ON TEXAS VISION CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:KESSNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-826-1720
Mailing Address - Street 1:1400 PATRICIA APT 216
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-1135
Mailing Address - Country:US
Mailing Address - Phone:910-918-1329
Mailing Address - Fax:210-826-1792
Practice Address - Street 1:12639 BLANCO RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-8103
Practice Address - Country:US
Practice Address - Phone:210-826-1720
Practice Address - Fax:210-826-1792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-11
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty