Individual provider Active NPI

Rosa Corina Suarez-Reyna, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1194046912
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6958TG Issued in TX
Practice address
6450 NW Loop 410 Ste 115
San Antonio, TX 78238-4210
Phone
(210) 521-2085
Fax
(210) 509-0962
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6958TG TX Primary

Addresses

Primary practice location

6450 NW Loop 410 Ste 115
San Antonio, TX 78238-4210

Mailing address

6450 NW Loop 410
Ste 115
San Antonio, TX 78238-4210
Phone (210) 691-4733

Other practice location 1

9262 Culebra Rd
Ste. 106
San Antonio, TX 78251-3571
Phone (210) 691-4733

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
I20110622000532 TX Practitioner - Optometry 7214115252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6450 NW Loop
410 Suite 115
San Antonio, TX 78238-4210
Phone (210) 521-2085

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Rosa C Suarez-Reyna and Associates Optometrist CurrentSince Mar 9, 2013 Accepting new patients
Eye-Deal Vision P.a. Optometrist PastSince Oct 12, 2025 Accepting new patients
Eye-Deal Vision, P.a. Optometrist PastSince Jul 1, 2005 Accepting new patients
Mark K Davis & Associates, PA Optometrist PastSince Oct 13, 2019 Accepting new patients

Locations

6450 NW Loop 410
Ste 115
San Antonio, TX 78238
Phone (210) 521-2085

Organizations & group practices 4

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1194046912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410",
            "address_2": "STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384210",
            "telephone_number": "210-691-4733",
            "fax_number": "210-647-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410 STE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384210",
            "telephone_number": "210-521-2085",
            "fax_number": "210-509-0962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9262 Culebra Rd",
            "address_2": "Ste. 106",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782513571",
            "country_code": "US",
            "telephone_number": "210-691-4733",
            "fax_number": "210-647-4741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUAREZ-REYNA",
        "first_name": "ROSA",
        "middle_name": "CORINA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6958TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.