San Antonio Eye Center, PA
Organization Active NPI Ophthalmology Physician · San Antonio, TX
NPI 1407808173 · NPPES record last updated Jan 9, 2008
Key facts
- NPI
- 1407808173
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- SAN ANTONIO EYE CENTER, PA
- Practice address
- 800 McCullough Ave
San Antonio, TX 78215-1625 - Phone
- (210) 226-6169
- Fax
- (210) 226-8365
- NPI assigned
- May 17, 2006
- Organization subpart
- No
Authorized official
- Name
- Carol Harris
- Title
- Executive Director
- Phone
- (210) 242-7575
Other NPIs with the same Medicare PAC ID 2
Practitioners 50
-
Claudia L. Cala Morales, M.D.
-
Jimena Camp, M.D
-
Gawain Dyer, M.D.
-
Aaron Erdmanczyk, O.D.
-
Raymond H. Hernandez III, M.D.
-
Kip Phillips Jennings, MPA-C
-
Lingkun Kong, M.D
-
Randy Owen Mauffray, M.D.
-
Kundandeep S Nagi, M.D.
-
Carlos Eduardo Pessoa, O.D.
-
George S Reyna, MD
-
Angela M Rowden, MD
-
Frances Marie Silva, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040416000095 | TX | Part B Supplier - Clinic/Group Practice | 8325033764 |
Receives reassigned benefits from 46 practitioners Practice locations: Schertz, TX; San Antonio, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes |
Addresses
Primary practice location
800 McCullough Ave
San Antonio, TX 78215-1625
Mailing address
800 McCullough
San Antonio, TX 78215-1625
Phone (210) 226-6169
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00T848 | Other | TX | BLUE CROSS GROUP NUMBER |
| CN3522 | Other | TX | RAILDROAD MEDICARE GRP # |
Other providers in San Antonio, TX
- San Antonio Eye Center, P.a.
- San Antonio Eye Center, P.a.
- San Antonio Eye Center, P.a.
- San Antonio Eye Center, PA
- San Antonio Eye Center, PA
- San Antonio Eye Center, PA
- San Antonio Eye Center, PA
- San Antonio Eyeworks PLLC
- San Antonio Family Chiropractic PLLC
- San Antonio Family Dental PLLC
All providers in San Antonio, TX · Ophthalmology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.