Individual provider Active NPI

Corina Alyssa Bonilla, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1063258861
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11209TG Issued in TX
Practice address
2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230
Phone
(210) 822-9800
NPI assigned
Jul 2, 2024
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11209TG TX Primary

Addresses

Primary practice location

2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230

Mailing address

2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230
Phone (210) 822-9800

Other names 1

  • Corina Alyssa Chapa Former name

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
I20240831000413 TX Practitioner - Optometry 8921547183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nader G Iskander MD PAGroup PAC ID 9133181670, 4 clinicians
San Antonio Eye Center, PAGroup PAC ID 8325033764, 34 clinicians

Practice addresses (Care Compare)

2810 N Loop 1604
Suite 200
San Antonio, TX 78248-2230
Phone 2108229800110

800 McCullough Ave
San Antonio, TX 78215-1625
Phone (210) 242-7555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nader G Iskander MD PA CurrentSince Jul 27, 2026 Accepting new patients
San Antonio Eye Center, PA CurrentSince Jul 1, 2024 Accepting new patients
San Antonio Eye Center, P.a. CurrentSince Jul 1, 2024 Accepting new patients
San Antonio Eye Center, PA PastSince Apr 27, 2025 Accepting new patients
San Antonio Eye Center, PA Past Accepting new patients
San Antonio Eye Center PA Optometrist Past Accepting new patients
San Antonio Eye Center PA PastSince Apr 27, 2025 Accepting new patients

Locations

11149 Westwood Loop
San Antonio, TX 78253

14807 San Pedro Ave
San Antonio, TX 78232
Phone (210) 495-2020

19292 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 490-6759

2119 Commercial Ave
San Antonio, TX 78221
Phone (210) 922-0604

2810 N Loop 1604 W
Ste 200
San Antonio, TX 78248
Phone (210) 822-9800

4203 E Southcross Blvd
San Antonio, TX 78222

511 Dallas St
San Antonio, TX 78215

523 Dallas St
San Antonio, TX 78215

6151 NW Loop 410
Ste 200
San Antonio, TX 78238
Phone (210) 222-9172

622 Camden St
San Antonio, TX 78215
Phone (210) 224-1881

710 Augusta
San Antonio, TX 78215
Phone (210) 225-6131

800 McCullough Ave
San Antonio, TX 78215
Phone (210) 226-8189

999 E Basse Rd
Ste 127
San Antonio, TX 78209
Phone (210) 821-6901

17738 Ripps Kreusler
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: corina.bonilla.p1@direct.saeye.nextgenshare.com

Organizations & group practices 7

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1063258861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N LOOP 1604 W STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482230",
            "telephone_number": "210-822-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N LOOP 1604 W STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482230",
            "telephone_number": "210-822-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONILLA",
        "first_name": "CORINA",
        "middle_name": "ALYSSA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11209TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORINA",
            "last_name": "CHAPA",
            "middle_name": "ALYSSA",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.