Individual provider Active NPI

Nazia N Maredia, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1417187741
Registry record updated Sep 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7445TG Issued in TX
Practice address
1603 Vance Jackson Rd
San Antonio, TX 78213-4470
Phone
(210) 732-3200
Fax
(210) 731-9089
NPI assigned
Jul 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7445TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 7445TG TX
Pediatric Optometrist 152WP0200X 7445TG TX

Addresses

Primary practice location

1603 Vance Jackson Rd
San Antonio, TX 78213-4470

Mailing address

1603 Vance Jackson Rd
San Antonio, TX 78213-4470
Phone (210) 732-3200

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
I20110822000484 TX Practitioner - Optometry 4284789926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1603 Vance Jackson Rd
San Antonio, TX 78213-4470
Phone (210) 732-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5883OHMDClinical Psychologist
7445TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Maredia Family Eyecare, PLLC Optometrist CurrentSince Jun 22, 2011 Accepting new patients
Cynthia J. Jemiola, O.D., Inc. PastSince Oct 1, 2014 Accepting new patients
Cynthia J. Jemiola, O.D., Inc Past Accepting new patients

Locations

1603 Vance Jackson Rd
San Antonio, TX 78213
Phone (210) 732-3200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1417187741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134470",
            "telephone_number": "210-732-3200",
            "fax_number": "210-731-9089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 VANCE JACKSON RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782134470",
            "telephone_number": "210-732-3200",
            "fax_number": "210-731-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAREDIA",
        "first_name": "NAZIA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7445TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "7445TG",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "7445TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.