Carlos Eduardo Pessoa, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

10203TG Issued in TX

Practice address

800 McCullough Ave
San Antonio, TX 78215-1625

Phone

(210) 226-6169

NPI assigned

Jun 20, 2016

Last updated

Jan 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alexander P. Sudarshan MD PAGroup PAC ID 7113199217, 7 clinicians

San Antonio Eye Center, PAGroup PAC ID 8325033764, 34 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carlos.pessoa.p1@direct.saeye.nextgenshare.com
• FHIR API: https://app.meldrx.com/api/fhir/ecp_cecga
• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander P. Sudarshan MD PA

  • Ophthalmology Physician
  • Brownsville, TX
  • NPI 1295014389

  Optometrist

  Medicare reassignment Care Compare group NPD
• San Antonio Eye Center, PA

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1407808173
  Medicare reassignment Care Compare group NPD
• Shah Eye Center, P.a.

  • Ophthalmology Physician
  • Mission, TX
  • NPI 1639114291

  Optometrist

  Medicare reassignment NPD
• Carlos E. Pessoa, OD, LLC

  dba Family Vision Center

  • Clinic/Center
  • Dallas, GA
  • NPI 1548708472
  NPD (past) Authorized official
• Alexander P Sudarshan MD PA

  • Ophthalmology Physician
  • Weslaco, TX
  • NPI 1891136925
  NPD
• San Antonio Eye Center, P.a.

  dba Alamo Optical

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1538414867
  NPD
• Clarkson Optometry Georgia Inc

  dba Clarkson Eyecare

  • Optometrist
  • Alpharetta, GA
  • NPI 1184802670
  NPD
• Alexander Pradip Sudarshan

  • Ophthalmology Physician
  • Brownsville, TX
  • NPI 1821093196
  NPD (past)
• George P Amegin DO PA

  • Ophthalmology Physician
  • Edinburg, TX
  • NPI 1417159542
  NPD (past)
• Ioptical, LLC

  • Eyewear Supplier
  • Mission, TX
  • NPI 1831642982
  NPD (past)
• San Antonio Eye Center PA

  dba Harris Optical Southside

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1649239906

  Optometrist

  NPD (past)
• San Antonio Eye Center PA

  dba Harris Optical ar

  • Eyewear Supplier
  • San Antonio, TX
  • NPI 1790572477
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1114377173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151625",
            "telephone_number": "210-226-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151625",
            "telephone_number": "210-226-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PESSOA",
        "first_name": "CARLOS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10203TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "10203TG",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "TX",
            "license": "10203TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF OPTOMETRY",
            "identifier": "10203TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Perz
• Juveria Ansar Peshimam, MD
• Anita Parra Pesina, RDH
• Alexa Pesongco
• Courtney McCarley Pessa, LPC
• Carlos Pestana, M.D.
• Brandon D Pester, DDS
• Rollin Dean Pester, D.P.M.
• Judy Andrea Pesthy
• Sharon Pete, M.S., LCDC

• 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 Jan 14, 2025; 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.