Organization Active NPI

Eyes on Texas Vision Care, PLLC

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1558792978
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES ON TEXAS VISION CARE, PLLC
Practice address
12639 Blanco Rd
San Antonio, TX 78216-8103
Phone
(210) 826-1720
Fax
(210) 826-1792
NPI assigned
Dec 11, 2013
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Marc David Kessner, ODNPI 1104057363
Title
Optometrist
Phone
(210) 826-1720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

12639 Blanco Rd
San Antonio, TX 78216-8103

Mailing address

1400 Patricia Apt 216
San Antonio, TX 78213-1135
Phone (910) 918-1329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140111000063 TX Part B Supplier - Clinic/Group Practice 3274761622 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

12639 Blanco Rd
San Antonio, TX 78216
Phone (210) 419-4300

270 E Basse Rd
Ste D101B
San Antonio, TX 78209
Phone (210) 826-1720

8235 Agora Pkwy
Ste 125
Selma, TX 78154
Phone (210) 566-2683

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1558792978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 PATRICIA APT 216",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131135",
            "telephone_number": "910-918-1329",
            "fax_number": "210-826-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12639 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782168103",
            "telephone_number": "210-826-1720",
            "fax_number": "210-826-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON TEXAS VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "KESSNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-826-1720",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "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 Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.