Organization Active NPI

Retina and Vitreous of San Antonio

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
National Provider Identifier
1225728959
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
Legal business name
RETINA AND VITREOUS OF SAN ANTONIO
Practice address
19016 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3280
Phone
(210) 469-4659
Fax
(210) 503-7044
NPI assigned
May 8, 2023
Last updated
Sep 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Authorized official

Name
Rashed Alhabshan, MDNPI 1811316680
Title
Owner
Phone
(210) 469-4659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X Primary

Addresses

Primary practice location

19016 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3280

Mailing address

19016 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-3280
Phone (210) 469-4659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230901002802 TX Part B Supplier - Clinic/Group Practice 6406219724 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

19016 Stone Oak Pkwy
Ste 100
San Antonio, TX 78258
Phone (210) 403-3490

19016 Stone Oak Pkwy
Ste 101
San Antonio, TX 78258
Phone (210) 469-4659

Interoperability endpoints

  • Direct secure messaging: ralhabshan@rvsa.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695081600000",
    "number": "1225728959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-469-4659",
            "fax_number": "210-503-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19016 STONE OAK PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583280",
            "telephone_number": "210-469-4659",
            "fax_number": "210-503-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA AND VITREOUS OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A",
        "authorized_official_last_name": "ALHABSHAN",
        "authorized_official_first_name": "RASHED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-469-4659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "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 Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.