Dr. Annela Arredondo & Associates, PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

6550TG Issued in TX

Legal business name

DR. ANNELA ARREDONDO & ASSOCIATES, PA

Practice address

12730 Ih 10 W
Suite 310a
San Antonio, TX 78230-1003

Phone

(210) 690-2002

Fax

(210) 690-2028

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Annela Arredondo, ODNPI 1346349933

Title

Optometrist/Owner

Phone

(210) 690-2002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annela Arredondo, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1346349933
  Medicare reassignment NPD Authorized official
• Joann Park, O.D.

  • Optometrist
  • Tysons Corner, VA
  • NPI 1780965327
  NPD (past)

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1336334283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12730 IH 10 WEST",
            "address_2": "SUITE 310A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301003",
            "telephone_number": "210-690-2002",
            "fax_number": "210-690-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12730 IH 10 W",
            "address_2": "SUITE 310A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782301003",
            "telephone_number": "210-690-2002",
            "fax_number": "210-690-2028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ANNELA ARREDONDO & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "ARREDONDO",
        "authorized_official_first_name": "ANNELA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "210-690-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6550TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "00557Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.