Five Star Eye Care, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

7711TG Issued in TX

Legal business name

FIVE STAR EYE CARE, PLLC

Doing business as

Vision Source Seguin

Practice address

404 E Mountain St
Seguin, TX 78155-5524

Phone

(830) 305-1109

NPI assigned

May 20, 2015

Last updated

Jul 16, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Clay Wolfe, O.D.NPI 1386925923

Title

President

Phone

(830) 305-1109

Specialties & licenses 1

Addresses

Other names 1

• Vision Source Seguin Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Stephen C Wolfe, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1386925923
  Medicare reassignment Care Compare group Authorized official
• Ampha Lorenzetti, OD

  • Optometrist
  • San Marcos, TX
  • NPI 1548155567
  Medicare reassignment Care Compare group NPD
• Kimberly Krohn Albracht, O.D.

  • Optometrist
  • Seguin, TX
  • NPI 1669765772
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1432080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1417336702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4006 MOUNT LAUREL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E MOUNTAIN ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "781555524",
            "telephone_number": "830-305-1109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-20",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-305-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7711TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Source Seguin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fannin County Hospital Authority (Avir at Walnut Springs)
• Mark Anthony Ferrante, MD
• Stephanie Nicole Fischer, RN
• James F Fisher, M.D.
• Susan Jean Fisher, PTA
• Fleming Eye Care PA
• Fleming Eye Care, P.a.
• Antonio A Flores, M.D.
• Mercadies Selisa Flores
• Vanessa Marie Flores, RN

• Optometrist in Seguin, TX
• Providers in Seguin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.