Active NPI
Jason R Daughtry, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1356355168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6281TG
- Practice address
- 315 N San Saba
Suite 100
San Antonio, TX 78207-3154 - Phone
- (210) 271-7575
- Fax
- (210) 225-8619
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6281TG | TX | Primary |
Addresses
Primary practice location
315 N San Saba
Suite 100
San Antonio, TX 78207-3154
Mailing address
315 N San Saba
Suite 100
San Antonio, TX 78207-3154
Phone (210) 271-7575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 183257802 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4775 Hamilton Wolfe
BLDG 2
San Antonio, TX 78229-3456
Phone (210) 614-3600
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.17 of 100
- Quality
- 96.34
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snip & Ference, PA | Current | Accepting new patients |
Locations
4775 Hamilton Wolfe Rd
Ste 2
San Antonio, TX 78229
Phone (210) 614-3600
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1174630602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1356355168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-271-7575",
"fax_number": "210-225-8619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-271-7575",
"fax_number": "210-225-8619"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUGHTRY",
"first_name": "JASON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6281TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183257802",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
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 Sep 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.