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Blue Moon Optical
Optician in San Marcos, Texas
NPI 1174940464

Blue Moon Optical is a Optician based in Austin, TX and is specialized in Optician. Blue Moon Optical practices in San Marcos, TX. The NPI Number for Blue Moon Optical is 1174940464 and holds a License No. 189067 (Texas).

The current practice location address for Blue Moon Optical is 121 W San Antonio St, San Marcos, TX and can be reached out via phone at 805-710-2445.

Location: 121 W San Antonio St, San Marcos, TX, 78747-1482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174940464
Provider Name
Blue Moon Optical
Credential
Provider Entity Type
Organization
Address
121 W San Antonio St, San Marcos, TX, 78747-1482
Phone Number
805-710-2445
Fax Number
Provider Enumeration Date
03/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
121 W San Antonio St
City
San Marcos
State
Texas
Zip
78666-5551
Phone Number
805-710-2445
Fax Number
person
Provider Business Mailing Address Details
Address
121 W San Antonio St
City
San Marcos
State
Texas
Zip
78666-5551
Phone Number
805-710-2445
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
189067 (Texas)
Definition
Definition to come...
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