Organization Active NPI

Amb Vision Associates PLLC

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1245050129
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMB VISION ASSOCIATES PLLC
Practice address
16793 San Pedro Ave
San Antonio, TX 78232-2349
Phone
(210) 545-4772
Fax
(210) 545-5350
NPI assigned
Oct 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Anna McKinney Behnke, OD
Title
Sole Member/Optometrist
Phone
(210) 668-8005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

16793 San Pedro Ave
San Antonio, TX 78232-2349

Mailing address

346 Brees Blvd
San Antonio, TX 78209-4826
Phone (210) 668-8005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241204004122 TX Part B Supplier - Clinic/Group Practice 7810423522 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1245050129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 BREES BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782094826",
            "telephone_number": "210-668-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16793 SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782322349",
            "telephone_number": "210-545-4772",
            "fax_number": "210-545-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMB VISION ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY BEHNKE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "SOLE MEMBER/OPTOMETRIST",
        "authorized_official_telephone_number": "210-668-8005",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "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 Oct 15, 2024; 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.