Individual provider Active NPI

David Ramirez, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1174364624
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11149T Issued in TX
Practice address
15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428
Phone
(210) 694-4110
NPI assigned
Jun 6, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11149T TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428

Mailing address

10138 Sandbrook HL
San Antonio, TX 78254-6928
Phone (210) 739-7482

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
I20240617003771 TX Practitioner - Optometry 6002359189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11149TXMDGeneral Practice Dentistry
11149TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Optometry PLLC Optometrist CurrentSince Jun 5, 2024 Accepting new patients

Locations

5535 W Loop 1604 N
Ste 104
San Antonio, TX 78253
Phone (210) 415-4230

6301 NW Loop 410
Ste 21A
San Antonio, TX 78238
Phone (210) 680-6097

7400 San Pedro Ave
Ste 486A
San Antonio, TX 78216
Phone (210) 541-0008

6301 NW Loop 410
San Antonio, TX 78238
Phone (210) 523-4068

15900 La Cantera Pkwy
Ste 6697
San Antonio, TX 78256
Phone (210) 694-4110

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.

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1174364624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10138 SANDBROOK HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782546928",
            "telephone_number": "210-739-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428",
            "telephone_number": "210-694-4110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11149T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.