Active NPI
Catherine Joo, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1528259595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0618001667
- Practice address
- 11103 West Ave
6
San Antonio, TX 78213-1370 - Phone
- (210) 524-6509
- Fax
- (210) 524-6587
- NPI assigned
- Aug 6, 2007
- Last updated
- Aug 6, 2007
- Sex
- Female
- 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 | 0618001667 | VA | Primary |
Addresses
Primary practice location
11103 West Ave
6
San Antonio, TX 78213-1370
Mailing address
5801 Duke St
E-128
Alexandria, VA 22304-3208
Phone (703) 642-0720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- 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
- Pennsylvania College of Optometry, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9010 Lorton Station Blvd
Suite 250
Lorton, VA 22079-4798
Phone (571) 285-2020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Eye MD, PC | Current | Accepting new patients |
Locations
9010 Lorton Station Blvd
Ste 250
Lorton, VA 22079
Phone (571) 285-2020
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": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1528259595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 DUKE ST",
"address_2": "E-128",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223043208",
"telephone_number": "703-642-0720",
"fax_number": "703-823-6642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11103 WEST AVE",
"address_2": "6",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782131370",
"telephone_number": "210-524-6509",
"fax_number": "210-524-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOO",
"first_name": "CATHERINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "VA",
"license": "0618001667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.