Individual provider Active NPI

Mia Gabrielle Auster, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1609751015
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11498 Issued in TX
Practice address
15900 La Cantera Pkwy Ste 20215
San Antonio, TX 78256-2464
Phone
(210) 354-2020
NPI assigned
Aug 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11498 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 20215
San Antonio, TX 78256-2464

Mailing address

5787 County Road 2189
Odem, TX 78370-4413
Phone (361) 290-9172

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
I20251010003379 TX Practitioner - Optometry 5395242663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2518 W Trenton Rd
Edinburg, TX 78539-8070

PO Box
Suite 2706
McAllen, TX 78502-2706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11498TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Manrique de Lara Mdpa Optometrist CurrentSince Aug 8, 2025 Accepting new patients
William Justus Head MD PA Past Accepting new patients

Locations

2518 W Trenton Rd
Edinburg, TX 78539
Phone (956) 661-9000

15900 La Cantera Pkwy
Ste 20215
San Antonio, TX 78256
Phone (210) 354-2020

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": "1754438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1609751015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5787 COUNTY ROAD 2189",
            "city": "ODEM",
            "state": "TX",
            "postal_code": "783704413",
            "telephone_number": "361-290-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 20215",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782562464",
            "telephone_number": "210-354-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTER",
        "first_name": "MIA",
        "middle_name": "GABRIELLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-06",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.