Abba Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

03260T Issued in TX

Legal business name

ABBA OPTICAL INC

Practice address

9823 W Ih 10
San Antonio, TX 78230-2243

Phone

(210) 694-0831

Fax

(210) 694-4536

NPI assigned

May 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Rene Ortiz, O.D.NPI 1720100217

Title

President

Phone

(210) 694-0831

Specialties & licenses 1

Addresses

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.

• Richard Rene Ortiz, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1720100217
  Medicare reassignment Authorized official
• Zachary James Faust, OD

  • Optometrist
  • Uvalde, TX
  • NPI 1407340607
  NPD (past)

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1346458437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9823 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302243",
            "telephone_number": "210-694-0831",
            "fax_number": "210-694-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9823 W IH 10",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782302243",
            "telephone_number": "210-694-0831",
            "fax_number": "210-694-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-694-0831",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "03260T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Abate
• Patsy Anne Abate, COTA
• Bassam Abdulnaim Abazid, DDS
• Abba Eldercare
• Abba Home Care
• Abba Rehabilitation Services Inc.
• April Abbasi
• Steven M Abbate, MD
• Kollin Abbe
• Alicia Nicole Abbey, MPAS, PA-C

• 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 7, 2012; 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.