Healthcare Provider Details

I. General information

NPI: 1609146356
Provider Name (Legal Business Name): STONE OAK OPHTHALMOLOGY CENTER PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2012
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18586 SIGMA RD
SAN ANTONIO TX
78258-4274
US

IV. Provider business mailing address

18586 SIGMA RD
SAN ANTONIO TX
78258-4274
US

V. Phone/Fax

Practice location:
  • Phone: 210-490-6759
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberP1609
License Number StateTX

VIII. Authorized Official

Name: ALLISON PAIGE YOUNG
Title or Position: OWNER
Credential: M.D.
Phone: 210-490-6759