Active NPI
Nevelow Eye Associates
- Optometrist
- San Antonio, TX
National Provider Identifier
1417315672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2061-TG
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John M Nevelow, OD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2061-TG | TX | Primary |
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031FH | Other | TX | BCBS |
| 00E11H | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
19190 Stone Oak Pkwy
Ste 120
San Antonio, TX 78258
Phone (210) 349-2437
Interoperability endpoints
- enevelow@neveloweyea.eyefinity-direct.com
- 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.
-
- Optometrist
- San Antonio, TX
- NPI 1710984067
-
- Optometrist
- San Antonio, TX
- NPI 1306921630
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.