Individual provider Active NPI

Mark Joseph Trevino, M.D.

  • Ophthalmology Physician
  • Boerne, TX
National Provider Identifier
1164650735
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P5307 Issued in TX
Practice address
1048 E Blanco Rd
Boerne, TX 78006-1800
Phone
(210) 223-5561
Fax
(210) 223-5093
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P5307 TX Primary

Addresses

Primary practice location

1048 E Blanco Rd
Boerne, TX 78006-1800

Mailing address

414 Navarro St Ste 400
San Antonio, TX 78205-2505
Phone (210) 223-5561

Other practice location 1

1200 Brooklyn Ave Ste 240
San Antonio, TX 78212-4830
Phone (210) 223-5561

Other practice location 2

3338 Oakwell Ct Ste 205
San Antonio, TX 78218-3088
Phone (210) 223-5561

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130716000739 TX Practitioner - Ophthalmology 6800036807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Associates of San AntonioGroup PAC ID 3476530072, 5 clinicians

Practice addresses (Care Compare)

1048 E Blanco Rd
Boerne, TX 78006-2831
Phone (210) 223-5561

1200 Brooklyn Ave
Suite 240
San Antonio, TX 78212-4830
Phone (210) 223-5561

3338 Oakwell Court
Suite 205
San Antonio, TX 78218-3088

3338 Oakwell CT
Suite 205
San Antonio, TX 78218-3088
Phone (210) 223-5561

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P5307TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Associates of San Antonio Ophthalmology CurrentSince Nov 15, 2014 Accepting new patients
Valley Retina Institute P.a. Ophthalmology Past Accepting new patients

Locations

1048 E Blanco Rd
Boerne, TX 78006
Phone (830) 249-3241

1200 Brooklyn Ave
Ste 240
San Antonio, TX 78212
Phone (210) 225-4511

414 Navarro St
Ste 400
San Antonio, TX 78205
Phone (210) 225-4810

3338 Oakwell Ct
Ste 205
San Antonio, TX 78218
Phone (210) 656-3070

Interoperability endpoints

  • Direct secure messaging: mjt@sanantonio.ecldirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1164650735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 NAVARRO ST STE 400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052505",
            "telephone_number": "210-223-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1048 E BLANCO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061800",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Brooklyn Ave Ste 240",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124830",
            "country_code": "US",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3338 Oakwell Ct Ste 205",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782183088",
            "country_code": "US",
            "telephone_number": "210-223-5561",
            "fax_number": "210-223-5093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "MARK",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P5307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

Verify at the official NPI Registry.