Active NPI
Seguin Texas State Optical, PLLC
- Optometrist
- Seguin, TX
National Provider Identifier
1013550342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- SEGUIN TEXAS STATE OPTICAL, PLLC
- Practice address
- 515 E Court St Ste 200
Seguin, TX 78155-5726 - Phone
- (830) 372-1650
- NPI assigned
- Oct 18, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jeslyn Roy Sabol, OD
- Title
- Owner/Optometrist
- Phone
- (512) 658-3079
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
515 E Court St Ste 200
Seguin, TX 78155-5726
Mailing address
2018 Carter LN
New Braunfels, TX 78130-2173
Phone (512) 658-3079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
515 E Court St
Ste 200
Seguin, TX 78155
Phone (830) 372-0550
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San Marcos, TX
- NPI 1609216282
-
- Optometrist
- New Braunfels, TX
- NPI 1649842659
-
- Optometrist
- San Marcos, TX
- NPI 1508120338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571356800000",
"number": "1013550342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2018 CARTER LN",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781302173",
"telephone_number": "512-658-3079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 E COURT ST STE 200",
"city": "SEGUIN",
"state": "TX",
"postal_code": "781555726",
"telephone_number": "830-372-1650"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEGUIN TEXAS STATE OPTICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-18",
"last_updated": "2019-10-18",
"status": "A",
"authorized_official_last_name": "SABOL",
"authorized_official_first_name": "JESLYN",
"authorized_official_middle_name": "ROY",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "512-658-3079",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seguin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.