Marlen Saras Mata, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10351T Issued in TX

Practice address

3107 TPC Pkwy Ste 101
San Antonio, TX 78259-2396

Phone

(210) 315-5559

Fax

(210) 988-2999

NPI assigned

Jun 4, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sitterle Vision Source PLLCGroup PAC ID 6800179458, 3 clinicians

Robison Eyecare PLLCGroup PAC ID 0648553693, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Robison Eyecare PLLC

  • Optometrist
  • San Antonio, TX
  • NPI 1689026288
  Medicare reassignment Care Compare group NPD
• Sitterle Vision Source PLLC

  • Optometrist
  • San Antonio, TX
  • NPI 1124578208
  Medicare reassignment Care Compare group NPD
• Bluebonnet Optometry, PLLC

  • Optometrist
  • San Antonio, TX
  • NPI 1083346175
  Medicare reassignment NPD
• Lifetime Vision Center, LLC

  • Optometrist
  • Grand Forks, ND
  • NPI 1750591962
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1043887524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 COUNTY ROAD 3822",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782536862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 TPC PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592396",
            "telephone_number": "210-315-5559",
            "fax_number": "210-988-2999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9610 State Highway 151 Ste 103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514860",
            "country_code": "US",
            "telephone_number": "210-750-1100",
            "fax_number": "210-750-1104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 S Columbia Rd",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582016070",
            "country_code": "US",
            "telephone_number": "678-316-3804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATA",
        "first_name": "MARLEN",
        "middle_name": "SARAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "798",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10351T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Mata, IBCLC
• Julio C Mata, CSFA
• Karina Mata, MS, RDN, LD
• Krystal May Mata, SPEECH LANGUAGE PATH
• Marissa Mata, LPC
• Rebeca Elvira Mata, LCSW
• Roxanne Mata, LPC
• Ruben Mata, FNP
• Ruben Mata Jr.
• Sophie Mata

• 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 Apr 14, 2026; 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.

Verify at the official NPI Registry.