Active NPI
Thomas Robert Nettleton, OD
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9009T
- Practice address
- 9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385 - Phone
- (210) 585-2020
- Fax
- (210) 249-0209
- NPI assigned
- Jul 14, 2016
- Last updated
- Sep 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9009T | TX | Primary |
Addresses
Primary practice location
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Mailing address
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone (210) 585-2020
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9725 Datapoint Dr
Suite 106
San Antonio, TX 78229-2385
Phone (210) 615-9358
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.42 of 100
- Quality
- 94.48
- Improvement activities
- 40
- Cost
- 68.76
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9009 | TX | MD | Professional Counselor |
| 9009T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anestexia LLC | Current | Accepting new patients | |
| Refractive Surgery & Diagnostic Center PLLC | Optometrist | Current | Accepting new patients |
| Jed Lee Howard PA | Past | Accepting new patients |
Locations
9725 Datapoint Dr
Ste 106
San Antonio, TX 78229
Phone (210) 585-2020
9725 Datapoint Dr
Ste 200
San Antonio, TX 78229
Phone (210) 615-9358
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1639419013
Optometrist
-
- Anesthesiology Physician
- San Antonio, TX
- NPI 1457004244
-
- Ophthalmologic Surgery Clinic/Center
- Bellaire, TX
- NPI 1003126723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599091200000",
"number": "1497108435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR STE 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292385",
"telephone_number": "210-585-2020",
"fax_number": "210-249-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR STE 106",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292385",
"telephone_number": "210-585-2020",
"fax_number": "210-249-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTLETON",
"first_name": "THOMAS",
"middle_name": "ROBERT",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "9009T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Gabriela Christine Netherton
- Tara Irene Netter, M.D
- Charles Arthur Netti, D.D.S.
- Laci Nettles Crews
- Danielle Nettles
- Network Provider Associates, P.C
- Network Provider Associates, P.C.
- Network Provider Associates, P.C.
- Neu Limbs, LLC (Hill Country O & P)
- Neu Limbs, LLC (Hill Country Orthotics and Prosthetics)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.