John Edward Voss Sr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2428 Issued in TX

Practice address

622 NW Loop 410
201 Central Park Sears
San Antonio, TX 78216-5528

Phone

(210) 340-0181

Fax

(210) 344-8921

NPI assigned

Feb 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003950403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15035 KAMARY LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782475423",
            "telephone_number": "210-657-3422",
            "fax_number": "210-344-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 NW LOOP 410",
            "address_2": "201 CENTRAL PARK SEARS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782165528",
            "telephone_number": "210-340-0181",
            "fax_number": "210-344-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOSS",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093151102",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED MANAGED CARE",
            "identifier": "912229",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manojna Mutyalu Kintada Vosberg, DO
• Alisa Voss Godfrey, LM, CPM
• Benjamin Voss, CNIM
• Freedom Zayin Voss
• Gene A. Voss, M.D.
• Justice Steele Voss, LMT
• Taylor Voss
• Eva Vosta, DO, MPH
• Votivus Inc
• Voyages of San Antonio LLC

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.