Individual provider Active NPI

Roman Yarema Klufas, OD

  • Optometrist
  • Schertz, TX
National Provider Identifier
1588744288
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6082TG Issued in TX
Practice address
1420 Schertz Pkwy Ste 130
Schertz, TX 78154
Phone
(210) 651-3926
Fax
(210) 651-7494
NPI assigned
Oct 17, 2006
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6082TG TX Primary

Addresses

Primary practice location

1420 Schertz Pkwy Ste 130
Schertz, TX 78154

Mailing address

1420 Schertz Pkwy Ste 130
Schertz, TX 78154-1667
Phone (210) 651-3926

Other identifiers 6

IdentifierTypeStateIssuer
2021448350000OtherTXCIGNA
0007792409OtherTXAETNA
104891591649OtherTXHUMANA
175574601MedicaidTX
81297QOtherTXBCBS
202144835OtherPHCS

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
I20041112000135 TX Practitioner - Optometry 8729042551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1420 Schertz Pkwy
Suite 130
Schertz, TX 78154-1667
Phone (210) 651-3926

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6082TXMDProfessional Counselor
6082TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond K Eyecare Inc. Optometrist CurrentSince Jan 1, 2005 Accepting new patients
San Marcos Vision Center Optometrist PastSince Oct 29, 2016 Accepting new patients
Eyes of Texas Optometrist PastSince May 31, 2016 Accepting new patients

Locations

1420 Schertz Pkwy
Ste 130
Schertz, TX 78154
Phone (210) 651-3926

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, 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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1588744288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SCHERTZ PKWY STE 130",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541667",
            "telephone_number": "210-651-3926",
            "fax_number": "210-651-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SCHERTZ PKWY STE 130",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-651-3926",
            "fax_number": "210-651-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUFAS",
        "first_name": "ROMAN",
        "middle_name": "YAREMA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6082TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2021448350000",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007792409",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "104891591649",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175574601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "81297Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "202144835",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.