Organization Active NPI

Thompson Collab PLLC

Doing business as Eyes of San Antonio

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1376131300
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THOMPSON COLLAB PLLC
Doing business as
Eyes of San Antonio
Practice address
1009 NW Loop 410
San Antonio, TX 78213-2221
Phone
(210) 366-1021
Fax
(210) 340-3587
NPI assigned
Jan 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Authorized official

Name
Nicole Maldonado, ODNPI 1578913810
Title
Optometrist
Phone
(210) 452-4951

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

1009 NW Loop 410
San Antonio, TX 78213-2221

Mailing address

1009 NW Loop 410
San Antonio, TX 78213-2221
Phone (210) 366-1021

Other names 1

  • Eyes of San Antonio Doing business as

National Provider Directory

National Provider Directory

Locations

1009 NW Loop 410
San Antonio, TX 78213
Phone (210) 366-1021

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1376131300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132221",
            "telephone_number": "210-366-1021",
            "fax_number": "210-340-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 NW LOOP 410",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782132221",
            "telephone_number": "210-366-1021",
            "fax_number": "210-340-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON COLLAB PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-452-4951",
        "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": "Eyes of San Antonio",
            "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 Jan 5, 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.