Organization Active NPI

Cynthia G. Phelps and Associates P.a.

Doing business as VisionTech 2020

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1396931507
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4474T Issued in TX
Legal business name
CYNTHIA G. PHELPS AND ASSOCIATES P.A.
Doing business as
VisionTech 2020
Practice address
1321 N Loop 1604 E Ste 101
San Antonio, TX 78232-1438
Phone
(210) 782-8205
Fax
(210) 545-2147
NPI assigned
Sep 20, 2007
Last updated
Jun 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Authorized official

Name
Dr. Cynthia Gonzales Phelps, O.D.NPI 1629098256
Title
Optometrist
Phone
(210) 545-2002

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
Optometrist 152W00000X 4474T TX Primary

Addresses

Primary practice location

1321 N Loop 1604 E Ste 101
San Antonio, TX 78232-1438

Mailing address

1321 N Loop 1604 E Ste 100a
San Antonio, TX 78232-1438
Phone (210) 782-8205

Other identifiers 2

IdentifierTypeStateIssuer
81270QOtherTXBLUE CROSS BLUE SHIELD
019490403MedicaidTX

Other names 1

  • VisionTech 2020 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090130000590 TX Part B Supplier - Clinic/Group Practice 8022172386 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1321 N Loop 1604 E
Ste A
San Antonio, TX 78232

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1396931507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1321 N LOOP 1604 E STE 100A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321438",
            "telephone_number": "210-782-8205",
            "fax_number": "210-545-2147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N LOOP 1604 E STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321438",
            "telephone_number": "210-782-8205",
            "fax_number": "210-545-2147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYNTHIA G. PHELPS AND ASSOCIATES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "GONZALES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-545-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4474T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81270Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019490403",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisionTech 2020",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VisionTech 2020",
            "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 Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.