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NPI Code Detail

MEDICARE: MR. ARTHUR R LOPEZ OPTICAL OWNER

MEDICARE:  MR. ARTHUR R LOPEZ  OPTICAL OWNER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FC0801XContact Lens FitterTX
2156FX1800XOpticianTX

General Provider Information

NPI Number : 1215682257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ARTHUR R LOPEZ OPTICAL OWNER
Provider Business Mailing Address
First Line : 12715 ENGELMANN # 102
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-4902
Country : US
Telephone Number : 210-318-7817
Fax Number :
Provider Business Practice Location Address
First Line : 6515 BANDERA RD
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78238-1434
Country : US
Telephone Number : 210-318-7817
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2022
Last Update Date : 02/17/2022

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Directions to “ MR. ARTHUR R LOPEZ OPTICAL OWNER” Practice Location

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