Organization Active NPI

Oculus Eyewear, LLC

  • Durable Medical Equipment & Medical Supplies
  • San Marcos, TX
National Provider Identifier
1619551272
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OCULUS EYEWEAR, LLC
Practice address
2430 S Ih 35 Ste 110
San Marcos, TX 78666-5921
Phone
(512) 396-1500
NPI assigned
May 10, 2021
Last updated
Aug 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Leah JohnsonNPI 1174868780
Title
Manager
Phone
(512) 396-1500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2430 S Ih 35 Ste 110
San Marcos, TX 78666-5921

Mailing address

2430 S Ih 35 Ste 110
San Marcos, TX 78666-5921
Phone (512) 396-1500

Other practice location 1

5024 Broadway
San Antonio, TX 78209-5708
Phone (512) 396-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210817003555 TX DME Supplier - Physician - Ophthalmology 1658776497 Practice locations: San Marcos, TX
O20221017001723 TX Part B Supplier - Clinic/Group Practice 1658776497 Receives reassigned benefits from 2 practitioners
Practice locations: Alamo Heights, TX; San Antonio, TX

National Provider Directory

National Provider Directory

Locations

434 N Loop 1604 W
Ste 3104
San Antonio, TX 78232
Phone (210) 982-3223

2430 S Ih 35
Ste 110
San Marcos, TX 78666
Phone (512) 396-1500

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1619551272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 S IH 35 STE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665921",
            "telephone_number": "512-396-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2430 S IH 35 STE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665921",
            "telephone_number": "512-396-1500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5024 Broadway",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782095708",
            "country_code": "US",
            "telephone_number": "512-396-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OCULUS EYEWEAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "512-396-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.