Organization Active NPI

Valley Hi Optical Inc.

  • Optician
  • San Antonio, TX
National Provider Identifier
1295953453
Registry record updated Jul 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
VALLEY HI OPTICAL INC.
Practice address
410 Valley Hi Dr
Suite 201 a
San Antonio, TX 78227-4610
Phone
(210) 674-9461
NPI assigned
Apr 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2016

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

Authorized official

Name
Mr. Brian Hernandez
Title
Vice President
Phone
(210) 674-9461

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0800X TX
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X TX Primary
Eyewear Supplier 332H00000X 7427090406 TX

Addresses

Primary practice location

410 Valley Hi Dr
Suite 201 a
San Antonio, TX 78227-4610

Mailing address

410 Valley Hi Dr
Suite 201 a
San Antonio, TX 78227-4610
Phone (210) 674-9461

Other identifiers 1

IdentifierTypeStateIssuer
019793101MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200226002229 TX DME Supplier - Optician 0648607945 Practice locations: San Antonio, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Valley Hi Optical410 Valley Hi Dr, San Antonio, TX 78227-4610(210) 674-9461 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 27, 2020

National Provider Directory

National Provider Directory

Locations

410 Valley Hi Dr
Ste 201A
San Antonio, TX 78227
Phone (210) 674-9461

410 Valley Hi Dr
Ste 201
San Antonio, TX 78227
Phone (210) 674-9461

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467331200000",
    "number": "1295953453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 VALLEY HI DR",
            "address_2": "SUITE 201 A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782274610",
            "telephone_number": "210-674-9461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 VALLEY HI DR",
            "address_2": "SUITE 201 A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782274610",
            "telephone_number": "210-674-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HI OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-07-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "210-674-9461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "7427090406",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019793101",
            "state": "TX"
        }
    ],
    "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 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.