Organization Active NPI

James F Anderson, OD PLLC

  • Optometrist
  • Universal City, TX
National Provider Identifier
1497471262
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JAMES F ANDERSON, OD PLLC
Doing business as
James F Anderson, OD PLLC
Practice address
510 Kitty Hawk Rd
Universal City, TX 78148-3961
Phone
(210) 774-5367
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
James E Anderson, OD
Title
Owner
Phone
(210) 774-5367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

510 Kitty Hawk Rd
Universal City, TX 78148-3961

Mailing address

17711 Krugerrand Dr
San Antonio, TX 78232-5626
Phone (210) 653-5665

Other identifiers 1

IdentifierTypeStateIssuer
03562OtherTXTEXAS LICENSE

Other names 1

  • JAMES F ANDERSON, OD PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

510 Kitty Hawk Rd
Universal City, TX 78148
Phone (210) 536-8544

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1497471262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17711 KRUGERRAND DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782325626",
            "telephone_number": "210-653-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 KITTY HAWK RD",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483961",
            "telephone_number": "210-774-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES F ANDERSON, OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-774-5367",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE",
            "identifier": "03562",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES F ANDERSON, OD PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Universal City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.