Individual provider Active NPI

May Tyan Ando, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1245383843
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8721T Issued in TX
Practice address
15677B San Pedro Ave
San Antonio, TX 78232-3732
Phone
(210) 490-9205
NPI assigned
Jan 19, 2007
Last updated
Dec 11, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11240T CA
Optometrist 152W00000X 8721T TX Primary

Addresses

Primary practice location

15677B San Pedro Ave
San Antonio, TX 78232-3732

Mailing address

PO Box 160308
San Antonio, TX 78280-2508
Phone (210) 366-1199

Other names 1

  • Dr. May Tyan Wong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110718000285 CA Practitioner - Optometry 3375711435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11240TCAMDOptometrist
8721TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a Holbert O D a Professional Corporation Optometrist CurrentSince Apr 17, 2024 Accepting new patients
Optometric Group Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
DRS. Bell, Davis, Elder & Assoc Optometrist Past Accepting new patients

Locations

2855 Stevens Creek Blvd
Ste 1151
Santa Clara, CA 95050
Phone (408) 243-9394

Organizations & group practices 4

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": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449792000000",
    "number": "1245383843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782802508",
            "telephone_number": "210-366-1199",
            "fax_number": "210-349-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677B SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323732",
            "telephone_number": "210-490-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDO",
        "first_name": "MAY",
        "middle_name": "TYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2015-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11240T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8721T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAY",
            "last_name": "WONG",
            "middle_name": "TYAN",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.