Active NPI
Louis J Peters, O.D.
- Corneal and Contact Management Optometrist
- San Antonio, TX
National Provider Identifier
1013074731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 04858T
- Practice address
- 11703 Huebner Rd
Suite 109
San Antonio, TX 78230-1201 - Phone
- (210) 979-6440
- Fax
- (210) 558-8310
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 04858T | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 04858T | TX | Primary |
Addresses
Primary practice location
11703 Huebner Rd
Suite 109
San Antonio, TX 78230-1201
Mailing address
11703 Huebner Rd
Suite 109
San Antonio, TX 78230-1201
Phone (210) 979-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Empresario Dr
Suite 111
San Antonio, TX 78245-4012
Phone (210) 957-0770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04858T | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Texas Professional PLLC | Optometrist | Current | Accepting new patients |
| Peters Eye Care, Inc. | Optometrist | Past | Accepting new patients |
| Janet B Ogletree OD PA | Optometrist | Past | Accepting new patients |
Locations
3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205
120 Empresario Dr
Ste 111
San Antonio, TX 78245
Phone (210) 257-0940
Networks
- NM HMO C-SNP
- TX HMO D-SNP
- TX HMO
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Kerrville, TX
- NPI 1457905937
-
- Corneal and Contact Management Optometrist
- San Antonio, TX
- NPI 1821155409
-
- Optometrist
- Flower Mound, TX
- NPI 1740313089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197504000000",
"number": "1013074731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11703 HUEBNER RD",
"address_2": "SUITE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301201",
"telephone_number": "210-979-6440",
"fax_number": "210-558-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11703 HUEBNER RD",
"address_2": "SUITE 109",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782301201",
"telephone_number": "210-979-6440",
"fax_number": "210-558-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETERS",
"first_name": "LOUIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2007-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "04858T",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "04858T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.