OrganizationActive
Buda Vision Source PLLC
NPI 1477809606 · Optometrist · Buda, TX
Provider details
- NPI number
- 1477809606
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Tony Jacob, OD(512) 398-7600
- License
- 7392 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3310 Fm 967 # B
Suite A-108
Buda, TX 78610-3487
Phone: (432) 413-1997
Approximate (ZIP-level) locationGet directions
Mailing address
3310 Fm 967 # B
Buda, TX 78610-3487
Registry dates
- Enumerated
- 2012-07-25
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.