Beverly Ann Kotara Wiatrek, OD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BEVERLY ANN KOTARA WIATREK, OD

Practice address

3310 E Southcross Blvd
San Antonio, TX 78223-1922

Phone

(210) 534-8863

Fax

(210) 534-8551

NPI assigned

Jul 21, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Beverly Wiatrek, O.D.NPI 1083678353

Title

Owner

Phone

(210) 534-8863

Specialties & licenses 1

Addresses

Locations

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.

• Beverly Ann Wiatrek, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1083678353
  Authorized official Same address or phone

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528089398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231922",
            "telephone_number": "210-534-8863",
            "fax_number": "210-534-8551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 E SOUTHCROSS BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231922",
            "telephone_number": "210-534-8863",
            "fax_number": "210-534-8551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY ANN KOTARA WIATREK, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WIATREK",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-534-8863",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Beug, RN
• Britney Michelle Beumeler, ACNP
• Lucas Beven, DO
• Beverley J Bunn D.D.S., M.D.S., P.a.
• Beverly a Zavaleta, MD PA
• Austin Taylor Bevil, DO
• Michael Beville, PT
• Shelia Denise Beville
• Bexar Care Home Health, Inc.
• Bexar Care Home Medical Equipment and Supply, LLC

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.