Edward Bustamante

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EDWARD BUSTAMANTE

Practice address

1314 E Sonterra Blvd Ste 103
San Antonio, TX 78258-4279

Phone

(210) 563-9694

NPI assigned

Mar 12, 2025

Organization subpart

No

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

Authorized official

Name

Edward Bustamante, ODNPI 1427165497

Title

Optometrist

Phone

(210) 563-9694

Specialties & licenses 1

Addresses

Other names 1

• Crystal Clear Vision Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Bustamante, O.D.,M.B.A

  • Optometrist
  • San Antonio, TX
  • NPI 1427165497
  NPD Authorized official

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

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1609675552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 E SONTERRA BLVD STE 103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584279",
            "telephone_number": "210-563-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD BUSTAMANTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "210-563-9694",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Clear Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership
• Educare Community Living Limited Partnership
• Edulfo Gonzalez, M.D., PLLC
• Kimberly Edvalson, RBT
• Edward E Horvath DO PA
• Abby Edwards, PTA
• Amber Edwards, M.A., LCDC
• Amilliana Edwards
• Chelsea Lauren Edwards, MDS, RD, LD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.