Modern Optometry PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MODERN OPTOMETRY PLLC

Practice address

15900 La Cantera Pkwy Ste 6697
San Antonio, TX 78256-2428

Phone

(210) 488-0453

NPI assigned

Jun 30, 2023

Last updated

Oct 16, 2023By 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. Ashley Garcia, ODNPI 1104460427

Title

OD/Owner

Phone

(210) 488-0453

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 8

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.

• Ashley Garcia, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1104460427
  Medicare reassignment NPD Authorized official
• Joel George, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1750981684
  Medicare reassignment NPD
• Stephanie Hernandez, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1174361794
  Medicare reassignment NPD
• Melina Moreno

  • Optometrist
  • San Antonio, TX
  • NPI 1174410682
  Medicare reassignment NPD
• David Ramirez, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1174364624
  Medicare reassignment NPD
• Kandy Luxely Valdovinos, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1336985241
  Medicare reassignment NPD
• Crystal Varela, OD

  • Optometrist
  • Davie, FL
  • NPI 1114650538

  TX

  Medicare reassignment NPD
• Tuan Thanh Huynh

  • Optician
  • Katy, TX
  • NPI 1114632437
  NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1427735414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8126 GLASGOW DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782234625",
            "telephone_number": "210-488-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 6697",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562428",
            "telephone_number": "210-488-0453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN OPTOMETRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "210-488-0453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rudolph Moczygemba, RRT
• Shelby Marie Moczygemba, PT, DPT
• Valerie J Moczygemba, LPC
• Modelohz Association
• Modern Dental Professionals San Antonio PC (Castle Dental)
• Lana Moderow
• Leeann R Modgling, PHARMD
• Joshua Allan Modica, ATC, LAT
• Modk Monitoring PLLC
• Modupeola Adedeji

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.