Individual provider Active NPI

Ashley Garcia, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1104460427
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9712 Issued in TX
Practice address
7400 San Pedro Ave Ste 486
San Antonio, TX 78216-8312
Phone
(210) 541-0008
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9712 TX Primary

Addresses

Primary practice location

7400 San Pedro Ave Ste 486
San Antonio, TX 78216-8312

Mailing address

4115 Chinkapin Oak
San Antonio, TX 78223-2358
Phone (210) 333-2375

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
I20200728001380 TX Practitioner - Optometry 4385068030 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9712TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince May 9, 2023 Accepting new patients
Modern Optometry PLLC Optometrist CurrentSince Aug 28, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1514 W Oaklawn Rd
Pleasanton, TX 78064
Phone (830) 569-4242

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

6301 NW Loop 410
San Antonio, TX 78238
Phone (210) 523-4068

7400 San Pedro Ave
Ste 486A
San Antonio, TX 78216
Phone (210) 541-0008

5535 W Loop 1604 N
Ste 104
San Antonio, TX 78253
Phone (210) 415-4230

6301 NW Loop 410
Ste 21A
San Antonio, TX 78238
Phone (210) 680-6097

Organizations & group practices 3

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1104460427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4115 CHINKAPIN OAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782232358",
            "telephone_number": "210-333-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SAN PEDRO AVE STE 486",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168312",
            "telephone_number": "210-541-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ASHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.