Organization Active NPI

Southern Eye Care PLLC

Doing business as yolanda g diaz od

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1407220643
Registry record updated Oct 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5481TG Issued in TX
Legal business name
SOUTHERN EYE CARE PLLC
Doing business as
yolanda g diaz od
Practice address
4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640
Phone
(210) 932-4922
Fax
(210) 932-0047
NPI assigned
Nov 28, 2015
Last updated
Oct 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2026

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

Authorized official

Name
Dr. Yolanda G. DiazNPI 1801969019
Title
Owner
Phone
(210) 932-4922

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X 5481TG TX Primary

Addresses

Primary practice location

4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640

Mailing address

4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640
Phone (210) 932-4922

Other names 1

  • yolanda g diaz od Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160531002014 TX Part B Supplier - Clinic/Group Practice 9133419344 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

1200 SE Military Dr
Ste 112
San Antonio, TX 78214
Phone (210) 932-4922

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1448668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793318400000",
    "number": "1407220643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 E SOUTHCROSS BLVD STE 26",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223640",
            "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": "4025 E SOUTHCROSS BLVD STE 26",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782223640",
            "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": "2026-10-30",
        "certification_date": "2026-10-30",
        "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."
    },
    "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"
        }
    ]
}

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 Oct 30, 2026; 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.