Organization Active NPI

Excellent Eye Care

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1104076900
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EXCELLENT EYE CARE
Practice address
3302 SE Military Dr
San Antonio, TX 78223-3980
Phone
(210) 858-9249
Fax
(210) 858-5759
NPI assigned
Sep 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Graciela Marialuisa Sable, O.D.
Title
Owner
Phone
(210) 858-9249

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3302 SE Military Dr
San Antonio, TX 78223-3980

Mailing address

3302 SE Military Dr
San Antonio, TX 78223-3980
Phone (210) 858-9249

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337904000000",
    "number": "1104076900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3302 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233980",
            "telephone_number": "210-858-9249",
            "fax_number": "210-858-5759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3302 SE MILITARY DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233980",
            "telephone_number": "210-858-9249",
            "fax_number": "210-858-5759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENT EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2012-05-25",
        "status": "A",
        "authorized_official_last_name": "SABLE",
        "authorized_official_first_name": "GRACIELA",
        "authorized_official_middle_name": "MARIALUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-858-9249",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.