Active NPI
Jack Rodney Abramson, O.D.
- Corneal and Contact Management Optometrist
- San Antonio, TX
National Provider Identifier
1013106244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 5201T
- Practice address
- 5555 De Zavala Rd
San Antonio, TX 78249-3998 - Phone
- (210) 377-0668
- Fax
- (210) 558-4551
- NPI assigned
- Oct 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 520IT | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 5201T | TX | Primary |
Addresses
Primary practice location
5555 De Zavala Rd
San Antonio, TX 78249-3998
Mailing address
5555 Dezavala
San Antonio, TX 78249-1735
Phone (210) 377-0668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 520IT | TX | MD | Optometrist |
| 5201T | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&R, P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- San Antonio, TX
- NPI 1457704132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1013106244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5555 DEZAVALA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782491735",
"telephone_number": "210-377-0668",
"fax_number": "210-558-4551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5555 DE ZAVALA RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493998",
"telephone_number": "210-377-0668",
"fax_number": "210-558-4551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABRAMSON",
"first_name": "JACK",
"middle_name": "RODNEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-24",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "520IT",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5201T",
"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 Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.