Southern Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5481TG Issued in TX

Legal business name

SOUTHERN EYE CARE PLLC

Practice address

1200 SE Military Dr
Suite 112
San Antonio, TX 78214-2851

Phone

(210) 932-4922

Fax

(210) 932-0047

NPI assigned

Nov 28, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Yolanda G Diaz, ODNPI 1801969019

Title

Owner

Phone

(210) 932-4922

Specialties & licenses 1

Addresses

Other names 1

• yolanda g diaz od Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Yolanda G. Diaz, O. D.

  • Optometrist
  • San Antonio, TX
  • NPI 1801969019
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1448668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448668800000",
    "number": "1407220643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 SE MILITARY DR",
            "address_2": "SUITE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142851",
            "telephone_number": "210-932-4922",
            "fax_number": "210-932-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 SE MILITARY DR",
            "address_2": "SUITE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142851",
            "telephone_number": "210-932-4922",
            "fax_number": "210-932-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-28",
        "last_updated": "2015-11-28",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-932-4922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5481TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "yolanda g diaz od",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Southern Belle Hospice LLC
• Southern Eye Care PLLC
• Southern Medical, Inc.
• Southern Sleep Diagnostics Inc
• Southern Sleep Diagnostics Inc
• Southern Texas Heart and Vascular Clinic, PLLC

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2015; 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.