Stone Oak Optical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

179450001 Issued in TX

Legal business name

STONE OAK OPTICAL INC

Practice address

325 E Sonterra Blvd
Suite # 100
San Antonio, TX 78258-4054

Phone

(210) 490-6759

Fax

(210) 490-6507

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jean Edward Holt, M.D.NPI 1952363848

Title

M.D. Vice President

Phone

(210) 490-6759

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jean Edwards Holt, M.D.

  • Specialist
  • San Antonio, TX
  • NPI 1952363848
  Authorized official Same address or phone

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1639357833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 EAST SONTERRA BLVD",
            "address_2": "SUITE # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-490-6759",
            "fax_number": "210-490-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E SONTERRA BLVD",
            "address_2": "SUITE # 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584054",
            "telephone_number": "210-490-6759",
            "fax_number": "210-490-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE OAK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "M.D. VICE PRESIDENT",
        "authorized_official_telephone_number": "210-490-6759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "179450001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stone Oak Medical Clinic, LLC
• Stone Oak Migraine & Headache Institute
• Stone Oak Modern Dentistry, PC (Stone Oak Modern Dentistry)
• Stone Oak MRI, LTD
• Stone Oak Ophthalmology Center LLC
• Stone Oak Orthodontics PLLC
• Stone Oak Pathology
• Stone Oak Pediatrics, PA
• Stone Oak Pharmacy, LP
• Stone Oak Rheumatology PA

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.