Active NPI
Maredia Family Eyecare, PLLC
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MAREDIA FAMILY EYECARE, PLLC
- Practice address
- 1603 Vance Jackson Rd
San Antonio, TX 78213-4470 - Phone
- (210) 732-3200
- Fax
- (210) 731-9089
- NPI assigned
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nazia N Maredia, O.D.
- Title
- Therapeutic Optometrist
- Phone
- (281) 773-7262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1603 Vance Jackson Rd
San Antonio, TX 78213-4470
Mailing address
1603 Vance Jackson Rd
San Antonio, TX 78213-4470
Phone (210) 732-3200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2124733 | Maredia Family Eyecare PLLC | Certificate of waiver | Jan 23, 2027 |
National Provider Directory
National Provider DirectoryLocations
1603 Vance Jackson Rd
San Antonio, TX 78213
Phone (210) 732-3200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- San Antonio, TX
- NPI 1417187741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536624000000",
"number": "1194018150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1603 VANCE JACKSON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134470",
"telephone_number": "210-732-3200",
"fax_number": "210-731-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 VANCE JACKSON RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134470",
"telephone_number": "210-732-3200",
"fax_number": "210-731-9089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAREDIA FAMILY EYECARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2018-09-11",
"status": "A",
"authorized_official_last_name": "MAREDIA",
"authorized_official_first_name": "NAZIA",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "THERAPEUTIC OPTOMETRIST",
"authorized_official_telephone_number": "281-773-7262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"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 Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.