Individual provider Active NPI

Mark Gerard Carolan, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1073516241
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
03767TG Issued in TX
Practice address
5430 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3539
Phone
(210) 340-1212
Fax
(210) 525-9617
NPI assigned
May 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 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 03767TG TX Primary

Addresses

Primary practice location

5430 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3539

Mailing address

5430 Fredericksburg Rd Ste 100
San Antonio, TX 78229-3539
Phone (210) 340-1212

Other practice location 1

113 Falls Ct Ste 100
Boerne, TX 78006-2962
Phone (210) 340-1212

Other identifiers 1

IdentifierTypeStateIssuer
133537404MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mcarolan@rashidrice.direct.eyemdemr.com Direct

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
I20091221000211 TX Practitioner - Optometry 8426198656 Reassigns benefits to 1 organization
Practice locations: New Braunfels, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rashid and Rice Eye Associates, P.L.L.C.Group PAC ID 1951385012, 8 clinicians

Practice addresses (Care Compare)

5430 Fredericksburg Rd
Suite 100
San Antonio, TX 78229-3539
Phone (210) 340-1212

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
92.07
Improvement activities
40
Cost
77.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03767TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rashid and Rice Eye Associates, P.L.L.C. CurrentSince Jan 1, 2000 Accepting new patients

Locations

113 Falls Ct
Boerne, TX 78006

113 Falls Ct
Ste 100
Boerne, TX 78006
Phone (830) 248-1222

1099 N Walnut Ave
Ste D
New Braunfels, TX 78130
Phone (512) 293-5502

5430 Fredericksburg Rd
Ste 100
San Antonio, TX 78229
Phone (210) 340-1212

Interoperability endpoints

  • Direct secure messaging: mcarolan@rashidrice.direct.eyemdemr.com

Organizations & group practices 1

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1073516241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293539",
            "telephone_number": "210-340-1212",
            "fax_number": "210-525-9617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 FREDERICKSBURG RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293539",
            "telephone_number": "210-340-1212",
            "fax_number": "210-525-9617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Falls Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062962",
            "country_code": "US",
            "telephone_number": "210-340-1212",
            "fax_number": "210-525-9617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAROLAN",
        "first_name": "MARK",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03767TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133537404",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcarolan@rashidrice.direct.eyemdemr.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5430 Fredericksburg Rd Ste 100",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782293539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.