Individual provider Active NPI

Farshid Amir, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1639189681
Registry record updated May 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4766TG Issued in TX
Practice address
9577 Huebner Rd
Suite 3
San Antonio, TX 78240-1687
Phone
(210) 523-6616
Fax
(210) 641-4998
NPI assigned
Aug 9, 2006
Last updated
May 29, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4766TG TX Primary

Addresses

Primary practice location

9577 Huebner Rd
Suite 3
San Antonio, TX 78240-1687

Mailing address

9577 Huebner Rd
Suite 3
San Antonio, TX 78240-1687
Phone (210) 523-6616

Other identifiers 2

IdentifierTypeStateIssuer
156083101MedicaidTX
742968437OtherBCBS

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
I20060330000675 TX Practitioner - Optometry 6406864560 Reassigns benefits to 2 organizations
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of the Incarnate WordGroup PAC ID 9234310301, 25 clinicians

Practice addresses (Care Compare)

9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 283-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4766TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word Optometrist CurrentSince May 3, 2012 Accepting new patients
University of the Incarnate Word CurrentSince May 3, 2012 Accepting new patients
Aeg Texas Professional PLLC Optometrist CurrentSince Jun 18, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Bella Vision Services LLC Optometrist Past Accepting new patients
Farshid Amir OD Optometrist PastSince Jan 1, 1990 Accepting new patients

Locations

130 Norris Ln
Boerne, TX 78006
Phone (830) 249-3898

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1503 SW Loop 410
Ste 113
San Antonio, TX 78227
Phone (210) 675-1515

810 Knights Cross Dr
Ste 101
San Antonio, TX 78258
Phone (210) 495-9020

9577 Huebner Rd
Ste 3
San Antonio, TX 78240
Phone (210) 523-6616

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1639189681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD",
            "address_2": "SUITE 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401687",
            "telephone_number": "210-523-6616",
            "fax_number": "210-641-4998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD",
            "address_2": "SUITE 3",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401687",
            "telephone_number": "210-523-6616",
            "fax_number": "210-641-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIR",
        "first_name": "FARSHID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4766TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156083101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "742968437",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.