Organization Active NPI

Lonestar Ophthalmology Center of San Antonio, P.a.

  • Specialist
  • San Antonio, TX
National Provider Identifier
1194900738
Registry record updated Apr 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
H9473 Issued in TX
Legal business name
LONESTAR OPHTHALMOLOGY CENTER OF SAN ANTONIO, P.A.
Practice address
8601 Village Dr
Ste 224
San Antonio, TX 78217-5509
Phone
(210) 656-3533
Fax
(210) 656-4493
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2012

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

Authorized official

Name
Dr. Samuel J Pierce, M.D.
Title
Doctor
Phone
(210) 656-3533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X H9473 TX Primary

Addresses

Primary practice location

8601 Village Dr
Ste 224
San Antonio, TX 78217-5509

Mailing address

8601 Village Dr
Ste 224
San Antonio, TX 78217-5509
Phone (210) 656-3533

Other identifiers 1

IdentifierTypeStateIssuer
166921001MedicaidTX

National Provider Directory

National Provider Directory

Locations

8601 Village Dr
Ste 224
San Antonio, TX 78217
Phone (210) 654-9900

8601 Village Dr
Ste 212
San Antonio, TX 78217
Phone (210) 654-6281

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1194900738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 224",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-656-3533",
            "fax_number": "210-656-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8601 VILLAGE DR",
            "address_2": "STE 224",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175509",
            "telephone_number": "210-656-3533",
            "fax_number": "210-656-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR OPHTHALMOLOGY CENTER OF SAN ANTONIO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "210-656-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "H9473",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166921001",
            "state": "TX"
        }
    ],
    "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 Apr 20, 2012; 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.