Provider Demographics
NPI:1871762500
Name:THE EYE CLINIC
Entity type:Organization
Organization Name:THE EYE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE AMNAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:LURATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-695-2222
Mailing Address - Street 1:PO BOX 167
Mailing Address - Street 2:
Mailing Address - City:HELOTES
Mailing Address - State:TX
Mailing Address - Zip Code:78023-0167
Mailing Address - Country:US
Mailing Address - Phone:210-695-2222
Mailing Address - Fax:
Practice Address - Street 1:11864 BANDERA RD
Practice Address - Street 2:
Practice Address - City:HELOTES
Practice Address - State:TX
Practice Address - Zip Code:78023-4132
Practice Address - Country:US
Practice Address - Phone:210-695-2222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-27
Last Update Date:2009-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0938840001OtherNSC