Individual provider Active NPI

Jessica Rivera-Robles, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1508059270
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7113T Issued in TX
Practice address
1515 N Loop 1604 E
San Antonio, TX 78232-1431
Phone
(210) 496-3336
Fax
(210) 496-3332
NPI assigned
Aug 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7113T TX Primary

Addresses

Primary practice location

1515 N Loop 1604 E
San Antonio, TX 78232-1431

Mailing address

1141 North Loop 1604 E #105-437
San Antonio, TX 78232
Phone (210) 264-8768

Other practice location 1

305 Singing Oaks
Spring Branch, TX 78070-6505
Phone (210) 496-3336

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
I20160930000633 TX Practitioner - Optometry 4486941770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1515 N Loop 1604
San Antonio, TX 78232-1431
Phone (210) 496-3336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7113TXMDChiropractor
7113TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica Rivera-Robles OD and Associates Optometrist CurrentSince Aug 9, 2016 Accepting new patients

Locations

1141 N Loop 1604 E
#105437
San Antonio, TX 78232

1515 N Loop 1604 E
San Antonio, TX 78232
Phone (210) 491-9001

Organizations & group practices 1

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": "1187913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1508059270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 NORTH LOOP 1604 E #105-437",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-264-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N LOOP 1604 E",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321431",
            "telephone_number": "210-496-3336",
            "fax_number": "210-496-3332"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Singing Oaks",
            "address_purpose": "LOCATION",
            "city": "Spring Branch",
            "state": "TX",
            "postal_code": "780706505",
            "country_code": "US",
            "telephone_number": "210-496-3336",
            "fax_number": "210-496-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-ROBLES",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-24",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7113T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.