Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FIDEL ALEXANDER PANTOJA, OPTICIAN
Active Sole ProprietorFIDEL ALEXANDER PANTOJA, OPTICIAN is a Eyewear Supplier healthcare provider located in SAN ANTONIO, Texas. NPI 1124783881 is currently active in the NPPES registry. Verify at CMS.
Eyewear Supplier · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1124783881
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 7, 2021 (4.7295072272202 yrs)
- Last Updated
- Nov 23, 2021
- Licenses
-
192472 (TX)192472 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1431 W WINNIPEG AVESAN ANTONIO, TX, 782252244Browse TX providers · Browse ZIP 78225
- Phone
- 2105803316
- Primary Specialty
-
Eyewear Supplier
332H00000X
- Additional Specialty
- Eyewear Supplier
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.