MEDICARE: M. ELAINE VLASAK, OD, PA

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	5039TG	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114116696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	M. ELAINE VLASAK, OD, PA

Provider Business Mailing Address
First Line	:	17503 LA CANTERA PKWY
Second Line	:	SUITE 115
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-8207
Country	:	US
Telephone Number	:	210-699-3937
Fax Number	:	210-200-6339

Provider Business Practice Location Address
First Line	:	17503 LA CANTERA PKWY
Second Line	:	SUITE 115
City	:	SAN ANTONIO
State	:	TX
Zip	:	78257-8207
Country	:	US
Telephone Number	:	210-699-3937
Fax Number	:	210-200-6339

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MARIE ELAINE VLASAK
Credential	:	O.D.
Telephone Number	:	210-699-3937

Provider Enumeration Date	:	10/19/2007
Last Update Date	:	07/12/2011

Similar Medicare Providers

1912877218 — THERESE MARIE ALVAREZ
Practice Location Address:

17503 LA CANTERA PKWY # 104-404
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-802-1661
Practice Fax: 210-579-6710

1649261322 — DR. MARIE ELAINE VLASAK OD
Practice Location Address:

17503 LA CANTERA PKWY , SUITE 115
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-699-3937
Practice Fax: 210-200-6339

1558595660 — DR. JOHN DENNIS CAYANAN ALFONSO M.D.
Practice Location Address:

17503 LA CANTERA PKWY # 104-456
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-571-7100
Practice Fax:

1407292535 — UNITED ORTHODONTICS OF CORPUS CHRISTI PLLC
Practice Location Address:

17503 LA CANTERA PKWY , STE 104-496
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-561-2400
Practice Fax: 210-561-2400

1346686359 — UNITED ORTHODONTICS OF FAR EAST EL PASO PLLC
Practice Location Address:

17503 LA CANTERA PKWY , STE 104-496
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-561-2400
Practice Fax: 210-561-2400

1285070227 — UNITED ORTHODONTICS OF LAS CRUCES PLLC
Practice Location Address:

17503 LA CANTERA PKWY , STE104-496
SAN ANTONIO, TX
78257-8207

Practice Phone: 210-561-2400
Practice Fax: 210-561-2400

Directions to “M. ELAINE VLASAK, OD, PA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.