Active NPI
Adrian Castaneda, ABOC
- Optician
- San Antonio, TX
National Provider Identifier
1124340740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DR4082
- Practice address
- 4042 Miho
San Antonio, TX 78223-3822 - Phone
- (210) 337-5243
- NPI assigned
- Feb 23, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DR4082 | TX | Primary |
Addresses
Primary practice location
4042 Miho
San Antonio, TX 78223-3822
Mailing address
4042 Miho
San Antonio, TX 78223-3822
Phone (210) 337-5243
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR4082 | TX | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Miracle Vision Optical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Eyewear Supplier
- San Antonio, TX
- NPI 1962683557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1124340740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4042 MIHO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233822",
"telephone_number": "210-337-5243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4042 MIHO",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782233822",
"telephone_number": "210-337-5243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "ADRIAN",
"name_prefix": "Mr.",
"credential": "ABOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "TX",
"license": "DR4082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.