Custom Eye Care

LBN: M. Elaine Vlasak, Od, Pa
Custom Eye Care is an health care organization with primary practice located at 17503 La Cantera Pkwy Suite 115, San Antonio TX 78257-8207. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. M. Elaine Vlasak, Od, Pa can be contacted via phone (210) 699-3937, or through Vlasak, Marie Elaine via phone (210) 699-3937.

Contact Information

Primary practice address
17503 La Cantera Pkwy Suite 115 San Antonio TX 78257-8207
Phone: (210) 699-3937
Fax: (210) 200-6339
Website:
Map and Directions
Authorized official contact:
Name: Vlasak, Marie Elaine Doctor of Optometry (OD)
Phone: (210) 699-3937

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5039TG Texas

Profile Details

NPI number 1114116696
LBN Legal business name M. Elaine Vlasak, Od, Pa
DBA Doing business as Custom Eye Care
Authorized official Vlasak, Marie Elaine Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2007
Last updated Jul 12th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114116696 NPPES
Texas MEDICAID 0933426-03

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