MEDICARE: NW EYE CENTER

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
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1780102186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NW EYE CENTER

Provider Business Mailing Address
First Line	:	5025 NW LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5313
Country	:	US
Telephone Number	:	210-984-2020
Fax Number	:

Provider Business Practice Location Address
First Line	:	5025 NW LOOP 410
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78229-5313
Country	:	US
Telephone Number	:	210-984-2020
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHRIS TRAN
Credential	:	OD
Telephone Number	:	210-984-2020

Provider Enumeration Date	:	09/06/2017
Last Update Date	:	07/21/2022

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Directions to “NW EYE CENTER ” Practice Location

Language	Start Address	Practice Location

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