Organization Active NPI

Refractive Surgery & Diagnostic Center PLLC

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1639419013
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
REFRACTIVE SURGERY & DIAGNOSTIC CENTER PLLC
Practice address
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone
(210) 615-9358
NPI assigned
Feb 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Gregory D. ParkhurstNPI 1689737793
Title
Owner
Phone
(210) 585-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X TX Primary

Addresses

Primary practice location

9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385

Mailing address

9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone (210) 615-9358

Other practice location 1

266 Landa St Ste 105
New Braunfels, TX 78130-8061
Phone (210) 585-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130717000687 TX Part B Supplier - Clinic/Group Practice 5496995367 Receives reassigned benefits from 18 practitioners
Practice locations: San Antonio, TX; Amarillo, TX; New Braunfels, TX

National Provider Directory

National Provider Directory

Locations

5701 Time Square
Amarillo, TX 79119

405 Paris St
Castroville, TX 78009
Phone (210) 615-9358

266 Landa St
New Braunfels, TX 78130

147 Fredericksburg Rd
New Braunfels, TX 78130
Phone (830) 625-5716

266 Landa St
Ste 105
New Braunfels, TX 78130
Phone (210) 585-2020

9725 Datapoint Dr
Ste 106
San Antonio, TX 78229
Phone (210) 585-2020

9725 Datapoint Dr
Ste 200
San Antonio, TX 78229
Phone (210) 615-9358

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

931 E Main St
Uvalde, TX 78801
Phone (210) 880-3000

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1639419013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292385",
            "telephone_number": "210-615-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292385",
            "telephone_number": "210-615-9358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "266 Landa St Ste 105",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781308061",
            "country_code": "US",
            "telephone_number": "210-585-2020",
            "fax_number": "210-249-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REFRACTIVE SURGERY & DIAGNOSTIC CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2022-11-07",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "PARKHURST",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-585-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 7, 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.