Individual provider Active NPI

Eddy Contreras, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1457375487
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
06578TG Issued in TX
Practice address
1900 N Main Ave
Suite 200
San Antonio, TX 78212-3942
Phone
(210) 225-7183
Fax
(210) 212-6659
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 06578TG TX Primary

Addresses

Primary practice location

1900 N Main Ave
Suite 200
San Antonio, TX 78212-3942

Mailing address

PO Box 12564
San Antonio, TX 78212-0564
Phone (210) 496-9803

Other identifiers 8

IdentifierTypeStateIssuer
7891175OtherTXAETNA - GROUP ID
81313QOtherTXBLUE CROSS BLUE SHIELD
174039101MedicaidTX
7122674OtherTXAETNA
1048170OtherTXBLUE LINK
8D5275OtherTXMEDICARE
4257770001OtherTXCIGNA FLEX POS
4257770002OtherTXCIGNA COM HMO

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
I20050620001068 TX Practitioner - Optometry 8123063245 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Sharp Eye Consultants, P.a.Group PAC ID 2264473560, 4 clinicians
San Antonio Eye Center, PAGroup PAC ID 8325033764, 34 clinicians

Practice addresses (Care Compare)

1900 N Main Ave
Suite 200
San Antonio, TX 78212-3942

6151 NW Loop
Suite 200
San Antonio, TX 78238-3327
Phone (210) 426-3062

800 McCullough Ave
San Antonio, TX 78215-1625

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Eye Consultants, P.a. Optometrist CurrentSince Jun 1, 2005 Accepting new patients
Sharp Eye Consultants, P.a. Optometrist CurrentSince Jun 1, 2005 Accepting new patients
Sharp Eye Consultants, P.a. Optometrist PastSince Jan 1, 1990 Accepting new patients
Sharp Eye Consultants, P.a. Optometrist PastSince Jan 1, 1990 Accepting new patients
Sharp Eye Consultants, P.a. Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

12702 Toepperwein Rd
Ste 121
Live Oak, TX 78233
Phone (210) 637-5742

7333 Barlite Blvd
Ste 401
San Antonio, TX 78224
Phone (210) 225-7183

415 Embassy Oaks
Ste 201
San Antonio, TX 78216
Phone (210) 496-9803

13909 Nacogdoches Rd
Ste 124
San Antonio, TX 78217
Phone (210) 635-8989

1900 N Main Ave
Ste 200
San Antonio, TX 78212
Phone (210) 225-7183

Organizations & group practices 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1457375487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12564",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782120564",
            "telephone_number": "210-496-9803",
            "fax_number": "210-496-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 N MAIN AVE",
            "address_2": "SUITE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123942",
            "telephone_number": "210-225-7183",
            "fax_number": "210-212-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "EDDY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "06578TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA - GROUP ID",
            "identifier": "7891175",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "81313Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174039101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7122674",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE LINK",
            "identifier": "1048170",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "8D5275",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA FLEX POS",
            "identifier": "4257770001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA COM HMO",
            "identifier": "4257770002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.