Individual provider Active NPI

Desiree Nicole Chapa, O.D.

  • Optometrist
  • Cibolo, TX
National Provider Identifier
1225514920
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9486-T Issued in TX
Practice address
2251 FM 1103 Ste 126
Cibolo, TX 78108-4084
Phone
(956) 650-2995
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9486-T TX Primary

Addresses

Primary practice location

2251 FM 1103 Ste 126
Cibolo, TX 78108-4084

Mailing address

2215 Independence Dr Apt 1310
New Braunfels, TX 78132-0050
Phone (956) 650-2995

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
I20180807003171 TX Practitioner - Optometry 2860740818 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selma Eye Care LLCGroup PAC ID 3476733049, 3 clinicians

Practice addresses (Care Compare)

15330 Ih 35
Selma, TX 78154-3814
Phone (210) 658-9133

2251 FM
1103 Suite 126
Cibolo, TX 78108-4084
Phone (830) 205-4375

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9486TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Selma Eye Care LLC Optometrist CurrentSince Apr 16, 2024 Accepting new patients
Desiree Nicole Chapa OD PLLC Optometrist CurrentSince Mar 1, 2024 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 1, 2023 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

2251 FM 1103
Ste 126
Cibolo, TX 78108
Phone (830) 205-4375

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

9577 Huebner Rd
Ste 3
San Antonio, TX 78240
Phone (210) 523-6616

Organizations & group practices 5

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": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1225514920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 INDEPENDENCE DR APT 1310",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781320050",
            "telephone_number": "956-650-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 FM 1103 STE 126",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781084084",
            "telephone_number": "956-650-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPA",
        "first_name": "DESIREE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9486-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

Verify at the official NPI Registry.