Organization Active NPI

Androzo Enterprises, PLLC

  • Corneal and Contact Management Optometrist
  • San Antonio, TX
National Provider Identifier
1275958712
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7706TG Issued in TX
Legal business name
ANDROZO ENTERPRISES, PLLC
Practice address
1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594
Phone
(210) 403-9050
NPI assigned
Feb 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Dr. Melanie Frogozo, O.D.NPI 1992961874
Title
Owner Optometrist
Phone
(210) 403-9050

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 7706TG TX Primary

Addresses

Primary practice location

1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594

Mailing address

1742 N Loop 1604 E Ste 118
San Antonio, TX 78232-1594
Phone (210) 403-9050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140605001922 TX Part B Supplier - Clinic/Group Practice 6204050586 Receives reassigned benefits from 4 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

5011 Burnet Rd
Austin, TX 78756
Phone (512) 454-8744

Practitioners & affiliated clinicians

Practitioners 6

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": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1275958712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 N LOOP 1604 E STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321594",
            "telephone_number": "210-403-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 N LOOP 1604 E STE 118",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321594",
            "telephone_number": "210-403-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDROZO ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "FROGOZO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "210-403-9050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7706TG",
            "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 Jul 15, 2014; 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.