Organization · Type 2 NPI

Mockingbird Optical Shop LLC

Customized Equipment (DME) · San Antonio, TX

NPI number 1194728337 Active

Practice location

5430 Fredericksburg Rd, Ste 100
San Antonio, TX 78229-3539

Fax (210) 525-9617

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200X4487710001 (TX)

Customized Equipment (DME): Definition to come...

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About NPI 1194728337

Mockingbird Optical Shop LLC's National Provider Identifier is 1194728337, issued on May 23, 2005. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in San Antonio, TX. The record was last updated on Feb 27, 2015.