Individual provider Active NPI

Brenda A Alvarado, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1467477836
Registry record updated Dec 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6884T Issued in TX
Practice address
2310 SW Military Dr
Ste. 501
San Antonio, TX 78224-1407
Phone
(210) 922-1163
Fax
(210) 922-1776
NPI assigned
Jul 13, 2006
Last updated
Dec 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6884T TX Primary

Addresses

Primary practice location

2310 SW Military Dr
Ste. 501
San Antonio, TX 78224-1407

Mailing address

10230 Fowler Rd
Atascosa, TX 78002-5785
Phone (210) 622-9316

Other practice location 1

700 S Zarzamora St Ste 110
San Antonio, TX 78207-5247
Phone (210) 431-0808

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
I20060906000147 TX Practitioner - Optometry 0941204945 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6884TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brenda O. Alvarado OD & Associates PLLC Optometrist CurrentSince May 1, 2019 Accepting new patients
Victor F. Alvarado CurrentSince Feb 18, 2013 Accepting new patients

Locations

2310 SW Military Dr
Ste 501
San Antonio, TX 78224
Phone (210) 922-1163

700 S Zarzamora St
Ste 110
San Antonio, TX 78207
Phone (210) 431-0808

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640044800000",
    "number": "1467477836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10230 FOWLER RD",
            "city": "ATASCOSA",
            "state": "TX",
            "postal_code": "780025785",
            "telephone_number": "210-622-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 SW MILITARY DR",
            "address_2": "STE. 501",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241407",
            "telephone_number": "210-922-1163",
            "fax_number": "210-922-1776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Zarzamora St Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075247",
            "country_code": "US",
            "telephone_number": "210-431-0808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "BRENDA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6884T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.