Organization Active NPI

Nevelow Eye Associates

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1417315672
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2061-TG Issued in TX
Legal business name
NEVELOW EYE ASSOCIATES
Practice address
19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237
Phone
(210) 349-2437
Fax
(210) 494-1633
NPI assigned
Feb 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Authorized official

Name
Dr. John M Nevelow, ODNPI 1710984067
Title
Owner
Phone
(210) 349-2437

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 2061-TG TX Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6756-TG TX

Addresses

Primary practice location

19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237

Mailing address

19190 Stone Oak Pkwy
Suite 120
San Antonio, TX 78258-3237
Phone (210) 349-2437

Other identifiers 2

IdentifierTypeStateIssuer
0031FHOtherTXBCBS
00E11HOtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170112001467 TX Part B Supplier - Clinic/Group Practice 2860774569 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

19190 Stone Oak Pkwy
Ste 120
San Antonio, TX 78258
Phone (210) 349-2437

Interoperability endpoints

  • Direct secure messaging: enevelow@neveloweyea.eyefinity-direct.com
  • Direct secure messaging: jnevelow@neveloweyea.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472515200000",
    "number": "1417315672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19190 STONE OAK PKWY",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583237",
            "telephone_number": "210-349-2437",
            "fax_number": "210-494-1633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19190 STONE OAK PKWY",
            "address_2": "SUITE 120",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782583237",
            "telephone_number": "210-349-2437",
            "fax_number": "210-494-1633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVELOW EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-08-30",
        "status": "A",
        "authorized_official_last_name": "NEVELOW",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-349-2437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2061-TG",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6756-TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0031FH",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00E11H",
            "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 Aug 30, 2016; 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.