E & S Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

E & S VISION LLC

Doing business as

My EyeLab

Practice address

3166 SE Military Dr Ste B105
San Antonio, TX 78223-3978

Phone

(210) 774-5398

Fax

(210) 774-5399

NPI assigned

Jul 24, 2018

Last updated

Apr 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackie Bennett

Title

Credentialing Specialist

Phone

(561) 433-6009

Specialties & licenses 1

Addresses

Other names 1

• My EyeLab Doing business as

Tax ID family

E S Management LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• E & S Management LLC

  dba My Eye Lab

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1275013393
  NPD tax ID

Locations

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1487131397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 DAWN DR STE 105",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282822",
            "telephone_number": "561-275-2020",
            "fax_number": "561-828-8367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3166 SE MILITARY DR STE B105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782233978",
            "telephone_number": "210-774-5398",
            "fax_number": "210-774-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E & S VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JACKIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-433-6009"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My EyeLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• E & S Management LLC (My Eye Lab)
• E & S Management LLC (My Eye Lab)
• E & S Management LLC (My EyeLab)
• E & S Management LLC (My EyeLab)
• E & S Management LLC
• E P Ted Williams Mdpa (Genesis Behavioral Health)
• E Plus Pet Imaging Xxiii LP (PET Imaging of San Antonio at Northeast Baptist)
• E Plus Pet Imaging Xxiii, L.P.
• E R Chiropractic PC (Thousand Oaks United Chiropractic)
• E-Motion Wellness LLC

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.