Healthcare Provider Details

I. General information

NPI: 1811946726
Provider Name (Legal Business Name): SOUTHWEST ARTIFICIAL EYES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6323 SOVEREIGN ST SUITE 159
SAN ANTONIO TX
78229-5138
US

IV. Provider business mailing address

6323 SOVEREIGN ST SUITE 159
SAN ANTONIO TX
78229-5138
US

V. Phone/Fax

Practice location:
  • Phone: 210-737-3937
  • Fax: 210-737-2112
Mailing address:
  • Phone: 210-737-3937
  • Fax: 210-737-2112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State

VIII. Authorized Official

Name: DANIEL M WENSKE
Title or Position: PRESIDENT
Credential: B.C.O.
Phone: 210-737-3937