Organization Active NPI

Eyeplastx

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1184099871
Registry record updated Dec 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYEPLASTX
Practice address
1314 E Sonterra Blvd
Suite 5104
San Antonio, TX 78258-4278
Phone
(210) 495-2367
Fax
(210) 495-0155
NPI assigned
Dec 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2015

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

Authorized official

Name
Dr. Christopher M Debacker, MD
Title
Owner
Phone
(210) 495-2367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1314 E Sonterra Blvd
Suite 5104
San Antonio, TX 78258-4278

Mailing address

1314 E Sonterra Blvd
Suite 5104
San Antonio, TX 78258-4278
Phone (210) 495-2367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1449360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449360000000",
    "number": "1184099871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD",
            "address_2": "SUITE 5104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584278",
            "telephone_number": "210-495-2367",
            "fax_number": "210-495-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD",
            "address_2": "SUITE 5104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584278",
            "telephone_number": "210-495-2367",
            "fax_number": "210-495-0155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEPLASTX",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-06",
        "last_updated": "2015-12-06",
        "status": "A",
        "authorized_official_last_name": "DEBACKER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-495-2367",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 Dec 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.