Individual provider Active NPI

Noemi Elizabeth Lozano, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1356572903
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
07456TG Issued in TX
Practice address
9157 Huebner Rd
San Antonio, TX 78240
Phone
(210) 697-2020
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 07456TG TX Primary

Addresses

Primary practice location

9157 Huebner Rd
San Antonio, TX 78240

Mailing address

9157 Huebner Rd
San Antonio, TX 78240
Phone (210) 317-6464

Other identifiers 1

IdentifierTypeStateIssuer
TXB15973OtherTXPTAN

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
I20090828000469 TX Practitioner - Optometry 2769537604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Selma Eye Care LLCGroup PAC ID 3476733049, 3 clinicians
Eye Care New BraunfelsGroup PAC ID 1951645068, 2 clinicians

Practice addresses (Care Compare)

15330 Ih 35
Selma, TX 78154-3814
Phone (210) 658-9133

2164 Gabriels PL
Suite 103
New Braunfels, TX 78130-6892
Phone (830) 837-5310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7456TXMDBehavioral Analyst
07456TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care New Braunfels Optometrist CurrentSince Oct 20, 2018 Accepting new patients
Selma Eye Care LLC Optometrist CurrentSince Sep 17, 2020 Accepting new patients

Locations

2164 Gabriels Pl
Ste 103
New Braunfels, TX 78130
Phone (210) 317-6464

2164 Gabriels Pl
New Braunfels, TX 78130
Phone (210) 317-6464

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356912000000",
    "number": "1356572903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-317-6464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78240",
            "telephone_number": "210-697-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZANO",
        "first_name": "NOEMI",
        "middle_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2012-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07456TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "TXB15973",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.