Provider Demographics
NPI:1245050129
Name:AMB VISION ASSOCIATES PLLC
Entity type:Organization
Organization Name:AMB VISION ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER/OPTOMETRIST
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKINNEY BEHNKE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:210-668-8005
Mailing Address - Street 1:346 BREES BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-4826
Mailing Address - Country:US
Mailing Address - Phone:210-668-8005
Mailing Address - Fax:
Practice Address - Street 1:16793 SAN PEDRO AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-2349
Practice Address - Country:US
Practice Address - Phone:210-545-4772
Practice Address - Fax:210-545-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty