Individual provider Active NPI

Michael A Orozco, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1568467298
Registry record updated Oct 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3376TG Issued in TX
Practice address
9157 Huebner Rd
San Antonio, TX 78240-1502
Phone
(210) 697-2020
Fax
(210) 558-7679
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3376TG TX Primary

Addresses

Primary practice location

9157 Huebner Rd
San Antonio, TX 78240-1502

Mailing address

9157 Huebner Rd
San Antonio, TX 78240-1502
Phone (210) 697-2020

Other identifiers 2

IdentifierTypeStateIssuer
80338QOtherTXBCBS
140991401MedicaidTX

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
I20110218000806 TX Practitioner - Optometry 0446431738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Ophthalmology AssociatesGroup PAC ID 1153390398, 12 clinicians

Practice addresses (Care Compare)

9157 Huebner Rd
San Antonio, TX 78240-1502
Phone (210) 697-2020

9730 Westover Hills Blvd
Suite 110
San Antonio, TX 78251-4842
Phone (210) 697-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
98.67
Improvement activities
40
Cost
78.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3376TGTXMDOptometrist
3376TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Ophthalmology Associates CurrentSince Feb 1, 2001 Accepting new patients
Medical Center Ophthalmology Associates Optometrist CurrentSince Feb 1, 2001 Accepting new patients

Locations

608 N Bedell Ave
#A
Del Rio, TX 78840
Phone (830) 775-7271

12413 Judson Rd
Ste 100
Live Oak, TX 78233
Phone (210) 654-0030

109 Gallery Cir
Ste 139
San Antonio, TX 78258

9157 Huebner Rd
San Antonio, TX 78240
Phone (210) 697-2001

9730 Westover Hills Blvd
Ste 110
San Antonio, TX 78251

11900 Crownpoint
Ste 140
San Antonio, TX 78233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413763200000",
    "number": "1568467298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "210-697-2020",
            "fax_number": "210-558-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "210-697-2020",
            "fax_number": "210-558-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OROZCO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3376TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "80338Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140991401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.