Marie Elaine Vlasak, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5039TG Issued in TX

Practice address

17503 La Cantera Pkwy
Suite 115
San Antonio, TX 78257-8207

Phone

(210) 699-3937

Fax

(210) 200-6339

NPI assigned

Nov 2, 2005

Last updated

Jul 12, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. M. Elaine Vlasak Professional name

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1994

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)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University of the Incarnate Word

  dba Eye & Vision Care Clinic

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment Care Compare group NPD
• M. Elaine Vlasak, OD, PA

  dba Custom Eye Care

  • Optometrist
  • San Antonio, TX
  • NPI 1114116696
  Medicare reassignment Authorized official
• University of the Incarnate Word

  dba Nursing Cardinal Clinic

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1649261322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-699-3937",
            "fax_number": "210-200-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17503 LA CANTERA PKWY",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782578207",
            "telephone_number": "210-699-3937",
            "fax_number": "210-200-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VLASAK",
        "first_name": "MARIE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5039TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093342603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "VLASAK",
            "middle_name": "ELAINE",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• John Austin Vizuete, M.D.
• Krista Michelle Vizuete, M.D.
• Marina Vladimir, LPC
• Eleftherios George Vlahos, DO, MPH
• Donna Vlasak, RN, FNP
• Lisa Margaret Vlasek, PTA
• Lynda Rodriguez Vlattas, LPC LMFT
• Andre Vlok, PSYD
• VMD Primary Providers South Hill Country Texas, PLLC (Village Medical)
• Amber Vo

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.