Individual provider Active NPI

Angela Marie Garza Offoegbu, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1265846984
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8405TG Issued in TX
Practice address
2810 N Loop 1604 W
Suite 200
San Antonio, TX 78248-2222
Phone
(210) 822-9800
Fax
(210) 822-9810
NPI assigned
Jun 20, 2014
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8405TG TX Primary

Addresses

Primary practice location

2810 N Loop 1604 W
Suite 200
San Antonio, TX 78248-2222

Mailing address

2810 N Loop 1604 W
Suite 200
San Antonio, TX 78248-2222
Phone (210) 822-9800

Other names 1

  • Dr. Angela Marie Garza Former name

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
I20150220000348 TX Practitioner - Optometry 9537484241 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19739 Ih 10
Suite 112
San Antonio, TX 78257-1817
Phone (210) 361-7720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8405TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
San Antonio Eye Center, PA CurrentSince Feb 1, 2019 Accepting new patients
San Antonio Eye Center, P.a. CurrentSince Feb 1, 2019 Accepting new patients
Eyes of Cresta Bella, PLLC Optometrist CurrentSince Nov 25, 2019 Accepting new patients
San Antonio Eye Center PA Optometrist Past Accepting new patients

Locations

10919 Culebra Rd
Ste 122
San Antonio, TX 78253
Phone (210) 560-1199

19739 Ih 10 W
Ste 106
San Antonio, TX 78257
Phone (210) 361-7720

19739 W Interstate 10
Ste 112
San Antonio, TX 78257
Phone (210) 361-7720

2119 Commercial Ave
San Antonio, TX 78221
Phone (210) 922-0604

800 McCullough Ave
San Antonio, TX 78215
Phone (210) 226-8189

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20373/brand/1/csg/1/fhir/r4

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": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1265846984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 N LOOP 1604 W",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482222",
            "telephone_number": "210-822-9800",
            "fax_number": "210-822-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 N LOOP 1604 W",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782482222",
            "telephone_number": "210-822-9800",
            "fax_number": "210-822-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFOEGBU",
        "first_name": "ANGELA",
        "middle_name": "MARIE GARZA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8405TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "GARZA",
            "middle_name": "MARIE",
            "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.