MEDICARE: BRIGHT EYECARE PLLC

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

General Provider Information

NPI Number	:	1184441685
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRIGHT EYECARE PLLC

Provider Business Mailing Address
First Line	:	3818 S NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1716
Country	:	US
Telephone Number	:	210-534-2244
Fax Number	:	210-964-8054

Provider Business Practice Location Address
First Line	:	3818 S NEW BRAUNFELS AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78223-1716
Country	:	US
Telephone Number	:	210-534-2244
Fax Number	:	210-964-8054

Authorized Official
Title or Position	:	OD/OWNER
Name	:	DR. DUNG LE
Credential	:	OD
Telephone Number	:	210-534-2244

Provider Enumeration Date	:	09/25/2024
Last Update Date	:	09/25/2024

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