Individual provider Active NPI

Cynthia Fletcher Trevino, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1437296258
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4386 Issued in TX
Practice address
7959 Fredericksburg Rd
San Antonio, TX 78229-3430
Phone
(210) 735-5440
Fax
(210) 342-2039
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4386 TX Primary

Addresses

Primary practice location

7959 Fredericksburg Rd
San Antonio, TX 78229-3430

Mailing address

7959 Fredericksburg Rd
San Antonio, TX 78229-3430
Phone (210) 735-5440

Other names 1

  • Cynthia Fletcher Trevino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071127000769 TX Practitioner - Optometry 9436248564 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4386TXMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Central LLC Optometrist CurrentSince Mar 9, 2013 Accepting new patients
Raul a. Trevino OD PA Optometrist Past Accepting new patients

Locations

7959 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 396-7410

7959 Fredericksburg Rd
Ste 137
San Antonio, TX 78229
Phone (210) 735-5440

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1437296258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-735-5440",
            "fax_number": "210-342-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7959 FREDERICKSBURG RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293430",
            "telephone_number": "210-735-5440",
            "fax_number": "210-342-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "CYNTHIA",
        "middle_name": "FLETCHER",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "TREVINO",
            "middle_name": "FLETCHER",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.