MEDICARE: DR. ROBERT C PRETLI O.D.

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	4901004352	MI

General Provider Information

NPI Number	:	1811046634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT C PRETLI O.D.

Provider Business Mailing Address
First Line	:	175 E HOUSTON ST
Second Line	:	7TH FLOOR
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-2255
Country	:	US
Telephone Number	:	210-524-6516
Fax Number	:

Provider Business Practice Location Address
First Line	:	175 E HOUSTON ST
Second Line	:	7TH FLOOR
City	:	SAN ANTONIO
State	:	TX
Zip	:	78205-2255
Country	:	US
Telephone Number	:	210-524-6516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	01/07/2015

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