Mockingbird Optical Shop LLC

NPI #1194728337 in San Antonio, Texas

Provider Information

NPI Number
1194728337
Entity Type
Organization
Organization Name
Mockingbird Optical Shop LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date
May 23, 2005
Last Updated
Feb 27, 2015

Practice Location

Address
5430 FREDERICKSBURG RD
Address 2
STE 100
State
Texas
ZIP Code
78229-3539
Phone
(210) 340-1212

Authorized Official

Name
JAY C. COLLINS
Title
ADMINISTRATOR
Phone
(210) 340-1212

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Customized EquipmentCustomized Equipment

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