Individual provider Active NPI

Jeffrey Draper, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1316322563
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8811T Issued in TX
Practice address
270 E Basse Rd Ste D101B
San Antonio, TX 78209-8361
Phone
(210) 998-6897
NPI assigned
Jul 29, 2015
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8811T TX Primary

Addresses

Primary practice location

270 E Basse Rd Ste D101B
San Antonio, TX 78209-8361

Mailing address

270 E Basse Rd Ste D101B
San Antonio, TX 78209-8361
Phone (210) 998-6897

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
I20210129000096 TX Practitioner - Optometry 3173937349 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCP Eyecare, PCGroup PAC ID 9234474172, 13 clinicians

Practice addresses (Care Compare)

18030 N US Hwy 281
Suite 250B
San Antonio, TX 78232-1416
Phone (210) 545-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8811TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
JD Family Eyecare PLLC Optometrist CurrentSince Sep 6, 2024 Accepting new patients
RCP Eyecare, PC Optometrist CurrentSince Dec 1, 2020 Accepting new patients

Locations

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

270 E Basse Rd
Ste D101B
San Antonio, TX 78209
Phone (210) 826-1720

4331 Thousand Oaks Dr
San Antonio, TX 78217
Phone (210) 591-4979

Organizations & group practices 2

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": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1316322563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 E BASSE RD STE D101B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098361",
            "telephone_number": "210-998-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 E BASSE RD STE D101B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098361",
            "telephone_number": "210-998-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8811T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.