Individual provider Active NPI

Eugene O Alvarado, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1376567214
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6322T Issued in TX
Practice address
2310 SW Military Dr
Suite 501
San Antonio, TX 78224-1407
Phone
(210) 922-1163
Fax
(210) 922-1776
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6322T TX Primary

Addresses

Primary practice location

2310 SW Military Dr
Suite 501
San Antonio, TX 78224-1407

Mailing address

2310 SW Military Dr
Suite 501
San Antonio, TX 78224-1407
Phone (210) 922-1163

Other identifiers 2

IdentifierTypeStateIssuer
1543191-02MedicaidTX
1543191-01MedicaidTX

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
I20120227000813 TX Practitioner - Optometry 0749448447 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6322TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene O Alvarado OD PastSince Oct 7, 2002 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1376567214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR",
            "address_2": "SUITE 501",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241407",
            "telephone_number": "210-922-1163",
            "fax_number": "210-922-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR",
            "address_2": "SUITE 501",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241407",
            "telephone_number": "210-922-1163",
            "fax_number": "210-922-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "EUGENE",
        "middle_name": "O",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6322T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543191-02",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1543191-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.