| Abba Optical Inc | |
|
9823 W Ih 10, San Antonio, TX 78230-2243 | |
| (210) 694-0831 | |
| (210) 694-4536 |
| Full Name | Abba Optical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 9823 W Ih 10, San Antonio, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346458437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 03260T (Texas) | Primary |
| Provider Name | Richard R Ortiz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720100217 PECOS PAC ID: 4880617521 Enrollment ID: I20060109001053 |
| Mailing Address | Practice Location Address |
|---|---|
| Abba Optical Inc 9823 W Ih 10, San Antonio, TX 78230-2243 Ph: (210) 694-0831 | Abba Optical Inc 9823 W Ih 10, San Antonio, TX 78230-2243 Ph: (210) 694-0831 |
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