Active NPI
Theresa Suzanne Kent, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1598739302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 07150T
- Practice address
- 9725 Datapoint Dr
San Antonio, TX 78229-2384 - Phone
- (210) 930-8165
- NPI assigned
- Feb 16, 2006
- Last updated
- Aug 22, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE005031T | PA | |
| Optometrist | 152W00000X | 27OA00363700 | NJ | |
| Optometrist | 152W00000X | OP 1421 | FL | |
| Optometrist | 152W00000X | 07150T | TX | Primary |
Addresses
Primary practice location
9725 Datapoint Dr
San Antonio, TX 78229-2384
Mailing address
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 930-8165
Other names 1
- Dr. Theresa Suzanne Orenchak
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP 1421 | FL | MD | Optometrist |
| 27OA00363700 | NJ | MD | Optometrist |
| OE005031T | PA | MD | Optometrist |
| 07150T | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313971200000",
"number": "1598739302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292384",
"telephone_number": "210-930-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9725 DATAPOINT DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782292384",
"telephone_number": "210-930-8165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENT",
"first_name": "THERESA",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-16",
"last_updated": "2011-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE005031T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "27OA00363700",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OP 1421",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "07150T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "THERESA",
"last_name": "ORENCHAK",
"middle_name": "SUZANNE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.