Individual provider Active NPI

Malvin Coleman Driver Jr., M.D.

  • Retina Specialist (Ophthalmology) Physician
  • San Antonio, TX
National Provider Identifier
1609800127
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
52609 Issued in KY
Practice address
2191 NW Military Hwy
San Antonio, TX 78213-1836
Phone
(210) 348-8788
Fax
(210) 348-8768
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E7897 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X E7897 TX
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X E7897 TX
Retina Specialist (Ophthalmology) Physician 207WX0107X 52609 KY Primary

Addresses

Primary practice location

2191 NW Military Hwy
San Antonio, TX 78213-1836

Mailing address

2191 NW Military Hwy
San Antonio, TX 78213-1836
Phone (210) 348-8788

Other identifiers 3

IdentifierTypeStateIssuer
300025897MedicaidIN
127822810MedicaidTX
7100593500MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, ME2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040802001544 TX Practitioner - Ophthalmology 0446221634 Reassigns benefits to 1 organization
I20201104001249 ME Practitioner - Ophthalmology 0446221634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
College of Physicians and Surgeons (Arkansas), 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cec LLCGroup PAC ID 3375834039, 9 clinicians
Shah Eye Center PAGroup PAC ID 7214935543, 8 clinicians

Practice addresses (Care Compare)

128 Bucksport Rd
Suite B
Ellsworth, ME 04605-2239
Phone (207) 667-6300

1506 E Griffin Pkwy
Mission, TX 78572-2425
Phone (956) 583-0202

Merit-based Incentive Payment System (MIPS)

Final score
82.54 of 100Reported as group
Quality
98.87
Improvement activities
40
Cost
43.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52609KYMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shah Eye Center, P.a. Ophthalmology CurrentSince Mar 4, 2020 Accepting new patients
Cec, LLC Ophthalmology CurrentSince Jul 28, 2025 Accepting new patients
Coastal Eye Care, P.a. Ophthalmology CurrentSince Jul 28, 2025 Accepting new patients
Austin Retina Associates PLLC Ophthalmology PastSince Sep 4, 2022 Accepting new patients
Craig M. Morgan, MD, Inc PastSince May 15, 2019 Accepting new patients
Alan D Smith MD PA Ophthalmology Past Accepting new patients
Austin Retina Associates PLLC Ophthalmology Past Accepting new patients
M Coleman Driver Jr MD PA Ophthalmology PastSince Apr 6, 2006 Accepting new patients
Bryan N Angle MD PA Ophthalmology Past Accepting new patients

Locations

128 Bucksport Rd
#B
Ellsworth, ME 04605
Phone (207) 667-6300

1506 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-0202

Interoperability endpoints

  • Direct secure messaging: mdriver@directaddress.net
  • Direct secure messaging: mdriver@shaheye.intellechartdirect.net

Organizations & group practices 9

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1609800127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131836",
            "telephone_number": "210-348-8788",
            "fax_number": "210-348-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131836",
            "telephone_number": "210-348-8788",
            "fax_number": "210-348-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRIVER",
        "first_name": "MALVIN",
        "middle_name": "COLEMAN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E7897",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "E7897",
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "TX",
            "license": "E7897",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "KY",
            "license": "52609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300025897",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "127822810",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100593500",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.