OrganizationActive
M. Elaine Vlasak, OD, PA
NPI 1114116696 · Optometrist · San Antonio, TX
Provider details
- NPI number
- 1114116696
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Marie Vlasak, President(210) 699-3937
- License
- 5039TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
17503 La Cantera Pkwy
Suite 115
San Antonio, TX 78257-8207
Phone: (210) 699-3937
Fax: (210) 200-6339
Approximate (ZIP-level) locationGet directions
Mailing address
17503 La Cantera Pkwy
San Antonio, TX 78257-8207
Other names (DBA / former)
- Doing business as
- Custom Eye Care
Registry dates
- Enumerated
- 2007-10-19
- Last updated
- 2011-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.