The Laser Eye Center of San Antonio P.L.L.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

THE LASER EYE CENTER OF SAN ANTONIO P.L.L.C.

Practice address

434 N Loop 1604 W Ste 3201
San Antonio, TX 78232-1376

Phone

(210) 348-0265

NPI assigned

Apr 17, 2020

Organization subpart

No

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

Authorized official

Name

Edgar Daniel Reyna

Title

Administrator

Phone

(210) 712-2340

Specialties & licenses 2

Addresses

Other names 1

• TLC San Antonio Doing business as

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587081600000",
    "number": "1912527151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N MAIN AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782124712",
            "telephone_number": "210-222-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 N LOOP 1604 W STE 3201",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321376",
            "telephone_number": "210-348-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASER EYE CENTER OF SAN ANTONIO P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "210-712-2340"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC San Antonio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.