Individual provider Active NPI

Amira Yamamoto, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1104335801
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9835T Issued in TX
Practice address
6301 NW Loop 410
San Antonio, TX 78238-3852
Phone
(210) 866-7555
Fax
(210) 866-7565
NPI assigned
Sep 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00676400 NJ
Optometrist 152W00000X 9835T TX Primary

Addresses

Primary practice location

6301 NW Loop 410
San Antonio, TX 78238-3852

Mailing address

659 Crestway Rd
Windcrest, TX 78239-2116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, NE, MO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200413002448 TX Practitioner - Optometry 9234492364 Reassigns benefits to 7 organizations
Practice locations: San Antonio, TX
I20220526000373 AZ Practitioner - Optometry 9234492364 Reassigns benefits to 5 organizations
I20230327001528 NE Practitioner - Optometry 9234492364 Reassigns benefits to 2 organizations
I20240816003816 MO Practitioner - Optometry 9234492364 Reassigns benefits to 8 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9835TTXMDOptometrist
1557NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
First Texas Optometric PC Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
John H McDougall OD Arizona PC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Desloge Vision Center Inc CurrentSince Apr 1, 2025 Accepting new patients
Centro San Vicente CurrentSince Dec 30, 2025 Accepting new patients
Paige Hedgpath OD,PC Optometrist CurrentSince Jul 1, 2024 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jun 13, 2023 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jan 6, 2026 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince May 1, 2022 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Clarkson Optometry, Inc Optometrist CurrentSince Feb 10, 2025 Accepting new patients
SDR Practices, LLC Optometrist CurrentSince Oct 30, 2024 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
First Texas Optometric PC Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Brownwood Optometrists, P.C. Optometrist CurrentSince Aug 15, 2023 Accepting new patients
Nationwide Optometry P.C. Optometrist CurrentSince May 1, 2022 Accepting new patients
Thurmond Eye Associates, PLLC CurrentSince Sep 23, 2024 Accepting new patients
Clarkson Optometry Inc Optometrist CurrentSince Feb 10, 2025 Accepting new patients
Centro San Vicente CurrentSince Dec 30, 2025 Accepting new patients
Paige Hedgpath Odpc Optometrist CurrentSince Jul 1, 2024 Accepting new patients
East Central Missouri Behavioral Health Services, Inc CurrentSince Jan 6, 2026 Accepting new patients
SDR Practices, LLC Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Family First Vision Care Arizona PLLC Optometrist CurrentSince Jun 13, 2023 Accepting new patients
Browning Corrections Optometry LLC CurrentSince Jun 1, 2025 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients
Usv Optical Inc Optometrist PastSince Nov 1, 2019 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Clarkson Eyecare Optometrist Past Accepting new patients

Locations (25 of 47)

10485 W McDowell Rd
Ste 103
Avondale, AZ 85392
Phone (480) 908-1001

545 N Peart Rd
Casa Grande, AZ 85122
Phone (520) 316-5590

1775 E Florence Blvd
Ste 2
Casa Grande, AZ 85122
Phone (520) 426-1600

220 N McKemy Ave
Chandler, AZ 85226
Phone (480) 961-1865

801 S Milton Rd
Flagstaff, AZ 86001
Phone (928) 213-1400

1495 N Higley Rd
Ste 106
Gilbert, AZ 85234
Phone (623) 289-8962

5707 W Northern Ave
Ste 106
Glendale, AZ 85301
Phone (602) 512-3299

85 Lake Havasu Ave N
Ste 108
Lake Havasu City, AZ 86403
Phone (928) 420-8810

20928 N John Wayne Pkwy
Ste C6
Maricopa, AZ 85139
Phone (520) 316-4388

955 W Southern Ave
Ste 101
Mesa, AZ 85210
Phone (480) 961-1865

937 N Dobson Rd
Ste 102
Mesa, AZ 85201
Phone (480) 649-6100

8215 W Bell Rd
Ste 122
Peoria, AZ 85382
Phone (623) 878-6948

711 E Bell Rd
Ste 2
Phoenix, AZ 85022
Phone (602) 841-9947

13856 W Waddell Rd
Ste 103
Surprise, AZ 85379
Phone (623) 546-9557

1825 E Guadalupe Rd
Ste F107
Tempe, AZ 85283
Phone (480) 730-1884

2040 E Rio Salado Pkwy
Ste 120
Tempe, AZ 85288
Phone (480) 966-4992

1785 W Valencia Rd
Unit 101
Tucson, AZ 85746
Phone (520) 807-5721

4663 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 322-0873

4386 N Oracle Rd
Ste 100
Tucson, AZ 85705
Phone (520) 887-4435

6615 N Oracle Rd
Tucson, AZ 85704
Phone (520) 797-8000

7475 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 663-5373

182 W 32nd St
Yuma, AZ 85364
Phone (928) 726-7757

3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564

1400 Forum Blvd
Ste 14
Columbia, MO 65203
Phone (573) 446-0331

1133 N Desloge Dr
Desloge, MO 63601
Phone (573) 518-0001

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ecp_cecaz

Organizations & group practices 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1104335801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 CRESTWAY RD",
            "city": "WINDCREST",
            "state": "TX",
            "postal_code": "782392116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383852",
            "telephone_number": "210-866-7555",
            "fax_number": "210-866-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAMOTO",
        "first_name": "AMIRA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00676400",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9835T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.