NPIMap

Organization Active NPI

San Antonio Eye Center, PA

Doing business as San Antonio Eye Surgicenter

  • Ambulatory Surgical Clinic/Center
  • San Antonio, TX
National Provider Identifier
1629038989
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000118 Issued in TX
Legal business name
SAN ANTONIO EYE CENTER, PA
Doing business as
San Antonio Eye Surgicenter
Practice address
715 Camden St
San Antonio, TX 78215-1619
Phone
(210) 226-6169
NPI assigned
Mar 23, 2006
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Meghan Rendon
Title
Chief Financial Officer
Phone
(210) 226-6169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 000118 TX Primary

Addresses

Primary practice location

715 Camden St
San Antonio, TX 78215-1619

Mailing address

800 McCullough
San Antonio, TX 78215-1625
Phone (210) 226-6169

Other identifiers 3

IdentifierTypeStateIssuer
490000225OtherTXRAILROAD MEDICARE
085854001MedicaidTX
HH1274OtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • San Antonio Eye Surgicenter Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110426000806 TX Part B Supplier - Ambulatory Surgical Center 8325033764 Receives reassigned benefits from 19 practitioners
Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
San Antonio Eye CenterCCN 45C0001010
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0981222San Antonio Eye Center PA715 Camden, San Antonio, TX 78215Certificate of waiverDec 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
San Antonio Eye Surg CT8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10919 Culebra Rd
Ste 122
San Antonio, TX 78253
Phone (210) 560-1199

11149 Westwood Loop
San Antonio, TX 78253

19323 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 494-9777

215 E Quincy St
Ste 505
San Antonio, TX 78215
Phone (210) 222-9172

511 Dallas St
San Antonio, TX 78215

511 Dallas St
Ste 200
San Antonio, TX 78215

5921 Broadway
San Antonio, TX 78209
Phone (210) 832-5430

6151 NW Loop 410
San Antonio, TX 78238

6151 NW Loop 410
Ste 400
San Antonio, TX 78238

801 Brooklyn Ave
Ste 200
San Antonio, TX 78215

8353 Culebra Rd
Ste 101
San Antonio, TX 78251
Phone (210) 706-2580

17738 Ripps Kreusler
Schertz, TX 78154

Practitioners & affiliated clinicians

Practitioners 34

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.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1629038989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MCCULLOUGH",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151625",
            "telephone_number": "210-226-6169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CAMDEN ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151619",
            "telephone_number": "210-226-6169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO EYE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A",
        "authorized_official_last_name": "RENDON",
        "authorized_official_first_name": "MEGHAN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "210-226-6169"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "000118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "490000225",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "085854001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "HH1274",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "San Antonio Eye Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "San Antonio Eye Surgicenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.