Active NPI
Carly Ann Gentry, OD
- Optometrist
- Schertz, TX
National Provider Identifier
1205357951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9238T
- Practice address
- 17323 Ih 35 N Ste 110
Schertz, TX 78154-1278 - Phone
- (210) 651-5800
- NPI assigned
- Jul 3, 2017
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9238T | TX | Primary |
Addresses
Primary practice location
17323 Ih 35 N Ste 110
Schertz, TX 78154-1278
Mailing address
10413 Aurora Sky
Schertz, TX 78154-3478
Other practice location 1
2530 Marshall Rd
San Antonio, TX 78259-1608
Phone (210) 590-1302
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17323 Ih 35
Suite 110
Schertz, TX 78154-1278
Phone (210) 651-5800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9238 | TX | MD | Behavioral Analyst |
| 9238T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Buttlar, OD, PC | Optometrist | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1205357951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10413 AURORA SKY",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781543478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17323 IH 35 N STE 110",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541278",
"telephone_number": "210-651-5800"
}
],
"practiceLocations": [
{
"address_1": "2530 Marshall Rd",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782591608",
"country_code": "US",
"telephone_number": "210-590-1302",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GENTRY",
"first_name": "CARLY",
"middle_name": "ANN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-03",
"last_updated": "2021-03-10",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9238T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.