Individual provider Active NPI

Naomi Quillin, OD

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1306499371
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9714T Issued in TX
Practice address
160 Creekside Way
New Braunfels, TX 78130-6396
Phone
(830) 625-2845
NPI assigned
Jul 18, 2019
Last updated
Jul 18, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9714T TX Primary

Addresses

Primary practice location

160 Creekside Way
New Braunfels, TX 78130-6396

Mailing address

1001 Hopkins Dr
Allen, TX 75002-5092
Phone (972) 207-6445

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
I20201119001128 TX Practitioner - Optometry 9739590951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Arthur a Medina OD PCGroup PAC ID 5991864514, 3 clinicians

Practice addresses (Care Compare)

405 Paris St
Castroville, TX 78009-4511
Phone (830) 931-2328

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9714TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Arthur a Medina OD PC Optometrist CurrentSince Nov 2, 2020 Accepting new patients

Locations

1309 Petersburg St
Castroville, TX 78009
Phone (830) 931-2328

405 Paris St
Castroville, TX 78009
Phone (210) 615-9358

2903 N Saint Marys St
San Antonio, TX 78212
Phone (210) 225-4141

Organizations & group practices 1

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": "1563408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563408000000",
    "number": "1306499371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 HOPKINS DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750025092",
            "telephone_number": "972-207-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE WAY",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306396",
            "telephone_number": "830-625-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILLIN",
        "first_name": "NAOMI",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-18",
        "last_updated": "2019-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9714T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.