Shaenfield Vision Source LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SHAENFIELD VISION SOURCE LLC

Practice address

7915 W 1604 N
Ste 118
San Antonio, TX 78254-9997

Phone

(832) 331-9831

NPI assigned

Oct 31, 2016

Organization subpart

No

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

Authorized official

Name

Thanh Tran, OD

Title

Owner

Phone

(832) 331-9831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1265984801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9218 POTRANCO RD",
            "address_2": "STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782512274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7915 W 1604 N",
            "address_2": "STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782549997",
            "telephone_number": "832-331-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAENFIELD VISION SOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "THANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-331-9831",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.