Individual provider Active NPI

Renee T Dunlap, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1558301283
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7303TG Issued in TX
Practice address
21019 US Highway 281 N
Suite 832
San Antonio, TX 78258-7601
Phone
(210) 490-3937
Fax
(210) 490-3931
NPI assigned
Jun 8, 2006
Last updated
Oct 13, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7303TG TX Primary

Addresses

Primary practice location

21019 US Highway 281 N
Suite 832
San Antonio, TX 78258-7601

Mailing address

21019 US Highway 281 N
Suite 832
San Antonio, TX 78258-7601
Phone (210) 490-3937

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
I20100604000551 TX Practitioner - Optometry 1052441862 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7303TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pena Optical Solutions LLC Optometrist CurrentSince Mar 15, 2023 Accepting new patients

Locations

237 W Water St
Kerrville, TX 78028
Phone (830) 257-6336

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, 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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1558301283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21019 US HIGHWAY 281 N",
            "address_2": "SUITE 832",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587601",
            "telephone_number": "210-490-3937",
            "fax_number": "210-490-3931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21019 US HIGHWAY 281 N",
            "address_2": "SUITE 832",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587601",
            "telephone_number": "210-490-3937",
            "fax_number": "210-490-3931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLAP",
        "first_name": "RENEE",
        "middle_name": "T",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7303TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.