Individual provider Active NPI

Talia Tunstill, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1073197646
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10263T Issued in TX
Practice address
15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428
Phone
(210) 694-4110
NPI assigned
May 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10263T TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428

Mailing address

15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428
Phone (210) 694-4110

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
I20210521000311 TX Practitioner - Optometry 8022417195 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Angelo Eye Associates PAGroup PAC ID 7416929468, 4 clinicians

Practice addresses (Care Compare)

1721 Kickerbocker Rd
San Angelo, TX 76904-5521
Phone (325) 944-8531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10263TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Angelo Eye Associates PA Optometrist CurrentSince Feb 15, 2025 Accepting new patients
FD&I Group, LLC Optometrist PastSince Nov 15, 2023 Accepting new patients

Locations

1104 S Bridge St
Brady, TX 76825
Phone (325) 597-2901

1721 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 944-8531

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1073197646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428",
            "telephone_number": "210-694-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428",
            "telephone_number": "210-694-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUNSTILL",
        "first_name": "TALIA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-10",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10263T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.