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Optical Headquarters — NPI 1265633119, San Antonio, TX | NPI Central

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NPI 1265633119

OrganizationActive

Optical Headquarters

NPI 1265633119 · Non-Pharmacy Dispensing Site · San Antonio, TX

Provider details

NPI number: 1265633119
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Authorized official: Lonnie Fussell, Owner

Practice location

1710 Fredericksburg Rd

San Antonio, TX 78201-5033

Phone: (210) 735-3507

Fax: (210) 735-1811

More TX providers

Mailing address

1710 Fredericksburg Rd

San Antonio, TX 78201-5033

Registry dates

Enumerated: 2007-05-29
Last updated: 2008-06-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.