Active NPI
Punitkumar Bhakta, OD
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-E94-TA-C47
- Practice address
- 3800 S Zarzamora St
San Antonio, TX 78225-2118 - Phone
- (210) 386-4455
- NPI assigned
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Optometrist | 152W00000X | S-E94-TA-C47 | AL | Primary |
Addresses
Primary practice location
3800 S Zarzamora St
San Antonio, TX 78225-2118
Mailing address
2850 Venice Rd Apt 5308
Birmingham, AL 35211-7020
Phone (210) 386-4455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- 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)
150 S Perry St
Montgomery, AL 36104-4227
Phone (248) 528-2116
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S-E94-TA-C47 | AL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 360Care Services of Al LLC | Optometrist | Current | Accepting new patients |
| Aria Eye Care, LLC | Optometrist | Current | Accepting new patients |
Locations
211 Ana Dr
Florence, AL 35630
Phone (256) 760-9942
2740 Zelda Rd
Ste 5B
Montgomery, AL 36106
Phone (682) 234-1164
150 S Perry St
Montgomery, AL 36104
Phone (225) 270-1012
523 Gandy St NE
Ste A
Russellville, AL 35653
Phone (205) 208-9955
11 Bell Rd
Selma, AL 36701
Phone (334) 874-7425
4350 Brownsboro Rd
Ste 210
Louisville, KY 40207
Phone (830) 212-1661
Organizations & group practices 2
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": "1554595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1205399383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 VENICE RD APT 5308",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352117020",
"telephone_number": "210-386-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 S ZARZAMORA ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782252118",
"telephone_number": "210-386-4455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHAKTA",
"first_name": "PUNITKUMAR",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-07",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-E94-TA-C47",
"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 Mar 20, 2023; 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.