Epic Vision Center PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7055T Issued in TX

Legal business name

EPIC VISION CENTER PLLC

Doing business as

Epic Vision Source

Practice address

6626 W Loop 1604 N Ste 216
San Antonio, TX 78254-6602

Phone

(210) 647-4733

Fax

(210) 647-4741

NPI assigned

Nov 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Suzanne M Jones, ODNPI 1093945354

Title

Optometrist

Phone

(210) 858-7408

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Epic Vision Source Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suzanne Marie Jones, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1093945354
  Medicare reassignment NPD Authorized official
• Nancy Mies, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1790934727
  Medicare reassignment NPD

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1033549555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 W LOOP 1604 N STE 216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546602",
            "telephone_number": "210-647-4733",
            "fax_number": "210-647-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6626 W LOOP 1604 N STE 216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546602",
            "telephone_number": "210-647-4733",
            "fax_number": "210-647-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC VISION CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-858-7408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7055T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340583901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Vision Source",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Epic Vision Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 27, 2026; 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.

Verify at the official NPI Registry.