Individual provider Active NPI

Steven Douglas Graham, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1013931153
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4911T Issued in TX
Practice address
5535 TX-1604 Loop
Site #104
San Antonio, TX 78253
Phone
(210) 688-9272
Fax
(620) 832-6600
NPI assigned
Jul 26, 2006
Last updated
May 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1366 KS
Optometrist 152W00000X 4911T TX Primary

Addresses

Primary practice location

5535 TX-1604 Loop
Site #104
San Antonio, TX 78253

Mailing address

5535 TX-1604 Loop
Site 104
San Antonio, TX 78253
Phone (210) 688-9272

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714002876 TX Practitioner - Optometry 9133113053 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye-Deal Vision, P.a.Group PAC ID 6406882083, 2 clinicians

Practice addresses (Care Compare)

9822 Potranco Rd
Suite 111
San Antonio, TX 78251-9608
Phone (210) 691-4733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1366KSMDClinical Social Worker
4911TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye-Deal Vision, P.a. Optometrist CurrentSince Oct 12, 2025 Accepting new patients
Eye-Deal Vision P.a. Optometrist CurrentSince Oct 12, 2025 Accepting new patients
20/15 Vision PLLC. Optometrist CurrentSince Jan 29, 2024 Accepting new patients
Oculus Eyewear, LLC Single Specialty CurrentSince Jan 9, 2025 Accepting new patients
FD&I Group, LLC Optometrist Past Accepting new patients

Locations

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

3302 SE Military Dr
San Antonio, TX 78223
Phone (210) 330-6192

434 N Loop 1604 W
Ste 3104
San Antonio, TX 78232
Phone (210) 982-3223

5024 Broadway
San Antonio, TX 78209
Phone (210) 271-3800

8202 N Loop 1604 W
Ste 105
San Antonio, TX 78249
Phone (210) 691-4733

9822 Potranco Rd
Ste 110
San Antonio, TX 78251
Phone (210) 691-4733

9822 Potranco Rd
Ste 111
San Antonio, TX 78251
Phone (210) 647-4733

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1013931153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 TX-1604 LOOP",
            "address_2": "SITE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-688-9272",
            "fax_number": "832-660-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 TX-1604 LOOP",
            "address_2": "SITE #104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78253",
            "telephone_number": "210-688-9272",
            "fax_number": "620-832-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "STEVEN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1366",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4911T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.