MEDICARE: AU VISION 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	8025-TG	TX

General Provider Information

NPI Number	:	1659726974
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AU VISION PLLC

Provider Business Mailing Address
First Line	:	9310 GUILBEAU ROAD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250
Country	:	US
Telephone Number	:	210-660-8105
Fax Number	:

Provider Business Practice Location Address
First Line	:	9310 GUILBEAU RD
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78250-3035
Country	:	US
Telephone Number	:	210-982-3225
Fax Number	:	210-579-6704

Authorized Official
Title or Position	:	OWNER
Name	:	DR. URCHNA K. MORAR
Credential	:	OD
Telephone Number	:	210-982-3225

Provider Enumeration Date	:	04/25/2016
Last Update Date	:	02/13/2019

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