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General NPI Number Information
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NPI Number | 1811946726
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Entity Type | Organization
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Legal Business Name | SOUTHWEST ARTIFICIAL EYES, INC.
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6323 SOVEREIGN ST SUITE 159
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5138
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Country | US
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Telephone | 210-737-3937
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Fax | 210-737-2112
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Provider Business Mailing Address
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Address Line | 6323 SOVEREIGN ST SUITE 159
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City | SAN ANTONIO
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State | TX
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Zip | 78229-5138
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Country | US
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Telephone | 210-737-3937
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Fax | 210-737-2112
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL M WENSKE
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Credential | B.C.O.
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Telephone | 210-737-3937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 156FX1700X
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Taxonomy Name | Ocularist
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License Number |
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License Number State |
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