Individual provider Active NPI

Erin Michelle Nevelow, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1306921630
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6756TG Issued in TX
Practice address
19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237
Phone
(210) 349-2437
Fax
(210) 494-1633
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6756TG TX Primary

Addresses

Primary practice location

19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237

Mailing address

19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237
Phone (210) 349-2437

Other identifiers 3

IdentifierTypeStateIssuer
342050594OtherTXUNITED HEALTH CARE
192123101MedicaidTX
0031FHOtherTXBLUE CROSS BLUE SHIELD OF TEXAS

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
I20121030000256 TX Practitioner - Optometry 9133133408 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevelow Eye AssociatesGroup PAC ID 2860774569, 2 clinicians
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians

Practice addresses (Care Compare)

19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237
Phone (210) 349-2437

255 E Basse Rd
Suite 330
San Antonio, TX 78209-8343
Phone (210) 308-8565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6756TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Nov 29, 2021 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Nov 29, 2021 Accepting new patients

Locations

4437 De Zavala Rd
#A
San Antonio, TX 78249
Phone (210) 492-7483

22906 US Highway 281 N
Ste 101
San Antonio, TX 78258
Phone (210) 492-7483

255 E Basse Rd
Ste 330
San Antonio, TX 78209
Phone (210) 308-8565

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

Interoperability endpoints

  • Direct secure messaging: enevelow@neveloweyea.eyefinity-direct.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1306921630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19190 STONE OAK PKWY",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583237",
            "telephone_number": "210-349-2437",
            "fax_number": "210-494-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19190 STONE OAK PKWY",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583237",
            "telephone_number": "210-349-2437",
            "fax_number": "210-494-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVELOW",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6756TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "342050594",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192123101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "0031FH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.