MEDICARE: FIESTA EYE CARE 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	5931T	TX

General Provider Information

NPI Number	:	1740556802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIESTA EYE CARE PLLC

Provider Business Mailing Address
First Line	:	2620 HARRY WURZBACH RD
Second Line	:	103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5004
Country	:	US
Telephone Number	:	210-828-4066
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 HARRY WURZBACH RD
Second Line	:	103
City	:	SAN ANTONIO
State	:	TX
Zip	:	78209-5004
Country	:	US
Telephone Number	:	210-828-4066
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST/OWNER
Name	:	DR. LINDA VISITSUNTHORN
Credential	:	O.D.
Telephone Number	:	210-828-4066

Provider Enumeration Date	:	03/22/2012
Last Update Date	:	03/22/2012

Similar Medicare Providers

1215068986 — LINDA VISITSUNTHORN O.D.
Practice Location Address:

2620 HARRY WURZBACH RD , 103
SAN ANTONIO, TX
78209-5004

Practice Phone: 210-828-4066
Practice Fax:

1700145133 — FSO, INC.
Practice Location Address:

2620 HARRY WURZBACH RD , SUITE 102
SAN ANTONIO, TX
78209-5004

Practice Phone: 210-828-2249
Practice Fax: 210-828-2599

1902986110 — ASCENSIA HOME HEALTH, INC.
Practice Location Address:

1633 W KINGS HWY
SAN ANTONIO, TX
78201-5004

Practice Phone: 210-521-0575
Practice Fax: 210-521-0574

1306251681 — DAVID SZALAY D.D.S.
Practice Location Address:

922 E SONTERRA BLVD APT 1316
SAN ANTONIO, TX
78258-5004

Practice Phone: 512-947-7037
Practice Fax:

1235788761 — CIARA JANAE TAYLOR
Practice Location Address:

4502 ALLEGHENY DR
SAN ANTONIO, TX
78229-5004

Practice Phone: 210-837-4749
Practice Fax:

1659920601 — DOCTOR DASH
Practice Location Address:

4804 RESEARCH DR
SAN ANTONIO, TX
78240-5004

Practice Phone: 210-960-2560
Practice Fax: 210-702-3441

Directions to “FIESTA EYE CARE PLLC ” 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.