Individual provider Active NPI

Celeste Acosta, O.D.

  • Optometrist
  • Helotes, TX
National Provider Identifier
1396793485
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5849TG Issued in TX
Practice address
11864 Bandera Rd
Helotes, TX 78023-4132
Phone
(210) 695-2222
Fax
(210) 695-2225
NPI assigned
May 4, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 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 5849TG TX Primary

Addresses

Primary practice location

11864 Bandera Rd
Helotes, TX 78023-4132

Mailing address

11864 Bandera Rd
Helotes, TX 78023-4132
Phone (210) 695-2222

Other names 1

  • Celeste A. Wade Other name

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
I20100701000529 TX Practitioner - Optometry 5597896076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celeste Acosta, O.D., P.C.Group PAC ID 4688705163, 2 clinicians

Practice addresses (Care Compare)

11864 Bandera Rd
Helotes, TX 78023-4132
Phone (210) 695-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5849TXMDChiropractor
5849TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Celeste Acosta, O.D., P.C. CurrentSince Jan 20, 2010 Accepting new patients
The Eye Clinic PastSince Jul 1, 2010 Accepting new patients

Locations

11864 Bandera Rd
Helotes, TX 78023
Phone (210) 695-2222

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61275

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1396793485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11864 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "210-695-2222",
            "fax_number": "210-695-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11864 BANDERA RD",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "780234132",
            "telephone_number": "210-695-2222",
            "fax_number": "210-695-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "CELESTE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5849TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "WADE",
            "middle_name": "A.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Helotes, TX

Sources for this page

Verify at the official NPI Registry.