Raul A. Trevino, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4162-T Issued in TX

Practice address

2210 NW Military Hwy
San Antonio, TX 78213-1815

Phone

(210) 344-1400

Fax

(210) 342-2039

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Raul A. Trevino Professional name

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

University of Houston - College of Optometry, 1989

Medicare assignment

May accept Medicare assignment

Group practices

Raul a. Trevino, OD, PAGroup PAC ID 9739278862, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Raul a. Trevino OD PA

  • Optometrist
  • San Antonio, TX
  • NPI 1932246758
  Medicare reassignment Care Compare group NPD
• Vision Central LLC

  • Optometrist
  • San Antonio, TX
  • NPI 1326298498
  Medicare reassignment NPD Authorized official
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1073650883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY.",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131890",
            "telephone_number": "210-344-1400",
            "fax_number": "210-342-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-344-1400",
            "fax_number": "210-342-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "RAUL",
        "middle_name": "A.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4162-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "TREVINO",
            "middle_name": "A.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Nikki Trevino
• Nivany Trevino
• Oscar Guillermo Trevino, D.D.S.
• Peter Paul Trevino, MBA, BSN, RN
• Raul Trevino
• Rebecca Diaz Trevino
• Robert P Trevino, DOCTOR
• Roberto Trevino, SLP
• San Juanita Trevino, RN
• Sandra Trevino, LCSW

• 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 May 8, 2019; 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.