Organization Active NPI

Elite Vision Satx PLLC

Doing business as Elite Vision

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1346882644
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ELITE VISION SATX PLLC
Doing business as
Elite Vision
Practice address
24531 Ih 10 West
103
San Antonio, TX 78257
Phone
(210) 888-3939
NPI assigned
Oct 8, 2019
Last updated
Feb 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Peter Nguyen, ODNPI 1326472622
Title
Optometrist
Phone
(210) 888-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

24531 Ih 10 West
103
San Antonio, TX 78257

Mailing address

24531 Ih 10 West
103
San Antonio, TX 78257

Other names 1

  • Elite Vision Doing business as

National Provider Directory

National Provider Directory

Locations

24531 W Interstate 10
Ste 103
San Antonio, TX 78257
Phone (210) 888-3939

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1346882644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24531 IH 10 WEST",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24531 IH 10 WEST",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78257",
            "telephone_number": "210-888-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VISION SATX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-888-3939",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.