Individual provider Active NPI

Alejandro Cerrillo, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1144955915
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10664 Issued in TX
Practice address
1939 NE Loop 410 Ste 200
San Antonio, TX 78217-5350
Phone
(210) 822-7239
Fax
(210) 822-6398
NPI assigned
Jul 18, 2022
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10664 TX Primary
Corneal and Contact Management Optometrist 152WC0802X 10664 TX

Addresses

Primary practice location

1939 NE Loop 410 Ste 200
San Antonio, TX 78217-5350

Mailing address

1939 NE Loop 410 Ste 200
San Antonio, TX 78217-5350

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
I20221003002061 TX Practitioner - Optometry 4981080629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Vision Associates, P.a.Group PAC ID 4385531359, 5 clinicians

Practice addresses (Care Compare)

5212 Broadway St
San Antonio, TX 78209-5712
Phone (210) 829-8083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10664TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Vision Associates, P.a. Optometrist CurrentSince May 1, 2023 Accepting new patients
JMC Vision, PLLC Optometrist Current Accepting new patients

Locations

1939 NE Loop 410
Ste 200
San Antonio, TX 78217
Phone (210) 822-7239

5212 Broadway
San Antonio, TX 78209
Phone (210) 822-7239

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1144955915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 NE LOOP 410 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1939 NE LOOP 410 STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175350",
            "telephone_number": "210-822-7239",
            "fax_number": "210-822-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRILLO",
        "first_name": "ALEJANDRO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10664",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "10664",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.