Individual provider Active NPI

Jackson Robison, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1558711523
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8911T Issued in TX
Practice address
3107 TPC Pkwy Ste 101
San Antonio, TX 78259-2396
Phone
(210) 216-7576
NPI assigned
Jun 20, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8911T TX Primary

Addresses

Primary practice location

3107 TPC Pkwy Ste 101
San Antonio, TX 78259-2396

Mailing address

3107 TPC Pkwy Ste 101
San Antonio, TX 78259-2396
Phone (210) 315-5559

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
I20160805000876 TX Practitioner - Optometry 7719279116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Robison Eyecare PLLCGroup PAC ID 0648553693, 2 clinicians
University of the Incarnate WordGroup PAC ID 9234310301, 25 clinicians

Practice addresses (Care Compare)

3107 TPC Pkwy
Suite 101
San Antonio, TX 78259-2395

3107 TPC Pkwy
Suite 101
San Antonio, TX 78259-2396
Phone (340) 284-3884

9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 283-6800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8911TXMDChiropractor
8911TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robison Eyecare PLLC Optometrist CurrentSince Nov 2, 2016 Accepting new patients
University of the Incarnate Word CurrentSince Jul 1, 2024 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Jul 1, 2024 Accepting new patients

Locations

3107 Tpc Pkwy
Ste 101
San Antonio, TX 78259
Phone (210) 315-5559

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

3107 Tpc Pkwy
Ste 107
San Antonio, TX 78259
Phone (210) 216-7576

Organizations & group practices 3

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": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1558711523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3107 TPC PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592396",
            "telephone_number": "210-315-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3107 TPC PKWY STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782592396",
            "telephone_number": "210-216-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "JACKSON",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8911T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.