Felipe Dejesus Deleon Jr., OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9641T Issued in TX

Practice address

5535 W Loop 1604 N Ste 104
San Antonio, TX 78253-7317

Phone

(210) 688-9272

NPI assigned

Apr 9, 2019

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

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kyle Vision PLLCGroup PAC ID 9335384635, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kyle Vision PLLC

  • Optometrist
  • Kyle, TX
  • NPI 1538403688
  Medicare reassignment Care Compare group NPD
• Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
  • NPI 1457905937
  Medicare reassignment
• Janet B Ogletree OD PA

  • Optometrist
  • Flower Mound, TX
  • NPI 1740313089
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1114480977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782537317",
            "telephone_number": "210-688-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 La Cantera Pkwy Ste 6697",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782562428",
            "country_code": "US",
            "telephone_number": "210-541-0008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7400 San Pedro Ave Ste 486",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782168312",
            "country_code": "US",
            "telephone_number": "210-541-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELEON",
        "first_name": "FELIPE",
        "middle_name": "DEJESUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9641T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Michelle Deleon
• Elizabeth Deleon, LVN
• Elva Earline Deleon, PA-C
• Ernest Abraham Deleon
• Evette Deleon, PTA
• John J Deleon Jr., M.D.
• Julia Ana Deleon, PMHNP-BC
• Korina M Deleon, M.D.
• Maritza Segovia Deleon
• Michele Deleon

• 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 Apr 16, 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.