NPI Code Details Logo

NPI 1184796831

NPI 1184796831 : DIAMOND K EYECARE INC. : SCHERTZ, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1184796831
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    DIAMOND K EYECARE INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/15/2006
-----------------------------------------------------
    Last Update Date     |    12/01/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1420 SCHERTZ PKWY SUITE 130
-----------------------------------------------------
    City                 |    SCHERTZ
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78154
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-651-3926
-----------------------------------------------------
    Fax                  |    210-651-7494
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1420 SCHERTZ PKWY SUITE 130
-----------------------------------------------------
    City                 |    SCHERTZ
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    78154
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    210-651-3926
-----------------------------------------------------
    Fax                  |    210-651-7494
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT/OWNER
-----------------------------------------------------
    Name                 |    DR. ROMAN YAREMA KLUFAS 
-----------------------------------------------------
    Credential           |    O.D
-----------------------------------------------------
    Telephone            |    210-651-3926
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.