Individual provider Active NPI

Mykela Renee Everts, OD

  • Optometrist
  • Cibolo, TX
National Provider Identifier
1245916964
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10652T Issued in TX
Practice address
791 FM 1103 Ste 115
Cibolo, TX 78108-3673
Phone
(210) 659-3937
NPI assigned
Jun 27, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 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 10652T TX Primary

Addresses

Primary practice location

791 FM 1103 Ste 115
Cibolo, TX 78108-3673

Mailing address

498 Ashley Park
Schertz, TX 78154-2638
Phone (210) 309-5209

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
I20231116000063 TX Practitioner - Optometry 7012364888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCP Eyecare, PCGroup PAC ID 9234474172, 13 clinicians

Practice addresses (Care Compare)

8222 Agora Pkwy
Suite 116
Selma, TX 78154-1319
Phone (210) 659-1479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Almanza Family Eyecare LLC Optometrist CurrentSince Oct 2, 2023 Accepting new patients
RCP Eyecare, PC Optometrist CurrentSince Sep 12, 2024 Accepting new patients

Locations

791 FM 1103
Ste 115
Cibolo, TX 78108
Phone (210) 659-3937

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

8222 Agora Pkwy
Ste 116
Selma, TX 78154
Phone (210) 657-6270

8222 Agora Pkwy
Ste 116A
Selma, TX 78154
Phone (210) 659-1479

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, 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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1245916964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 ASHLEY PARK",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542638",
            "telephone_number": "210-309-5209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 FM 1103 STE 115",
            "city": "CIBOLO",
            "state": "TX",
            "postal_code": "781083673",
            "telephone_number": "210-659-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERTS",
        "first_name": "MYKELA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10652T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cibolo, TX

Sources for this page

Verify at the official NPI Registry.