Organization Active NPI

3 C Vision Specialists

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1417308149
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
3 C VISION SPECIALISTS
Practice address
7910 Teak LN Ste 202
San Antonio, TX 78209-1764
Phone
(210) 538-2020
Fax
(210) 599-6622
NPI assigned
Jun 23, 2016
Last updated
Jun 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Fernando Trujillo, M.D.NPI 1033115647
Title
Owner
Phone
(210) 538-2020

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
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

7910 Teak LN Ste 202
San Antonio, TX 78209-1764

Mailing address

9211 Broadway Unit 17283
San Antonio, TX 78217-7011
Phone (210) 538-2020

Other identifiers 1

IdentifierTypeStateIssuer
04132016OtherTXINCORP DATE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160824002357 TX Part B Supplier - Clinic/Group Practice 2668767070 Receives reassigned benefits from 2 practitioners
Practice locations: Floresville, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

104 Turner Ln
Floresville, TX 78114
Phone (210) 242-6506

497 10th St
Ste 203
Floresville, TX 78114
Phone (210) 901-9353

7910 Teak Ln
Ste 202
San Antonio, TX 78209
Phone (210) 538-2020

9211 Broadway
Unit 17283
San Antonio, TX 78217

999 E Basse Rd
Ste 103
San Antonio, TX 78209
Phone (210) 538-2020

Interoperability endpoints

  • Direct secure messaging: egonzalez@vision3c.intellechartdirect.net
  • Direct secure messaging: ftrujillo@vision3c.intellechartdirect.net

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": "1466640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1417308149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9211 BROADWAY UNIT 17283",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782177011",
            "telephone_number": "210-538-2020",
            "fax_number": "210-599-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 TEAK LN STE 202",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782091764",
            "telephone_number": "210-538-2020",
            "fax_number": "210-599-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 C VISION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-23",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-538-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INCORP DATE",
            "identifier": "04132016",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 11, 2024; 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.