Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fidel Alexander Pantoja, OPTICIAN

Individual provider Optician · NPI 1124783881

Fidel Alexander Pantoja, OPTICIAN is an Optician in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1431 W Winnipeg Ave
San Antonio, TX 78225-2244
Phone: (210) 580-3316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Eyewear Supplier (primary) Taxonomy 332H00000X · Licence 192472 (TX)
Optician Taxonomy 156FX1800X · Licence 192472 (TX)

Record details

NPI number1124783881
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedNovember 7, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021

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