Organization Active NPI

Cassandra M Cavazos

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1649299769
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5559TG Issued in TX
Legal business name
CASSANDRA M CAVAZOS
Practice address
5720 Bandera Rd
Ste 6
San Antonio, TX 78238-1985
Phone
(210) 682-4300
Fax
(210) 682-5838
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Cassandra M Cavazos, O.D.
Title
Owner
Phone
(210) 682-4300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5559TG TX Primary

Addresses

Primary practice location

5720 Bandera Rd
Ste 6
San Antonio, TX 78238-1985

Mailing address

5720 Bandera Rd
Ste 6
San Antonio, TX 78238-1985
Phone (210) 682-4300

Other names 1

  • Bandera Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

5720 Bandera Rd
Ste 6
San Antonio, TX 78238
Phone (210) 682-4300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1649299769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5720 BANDERA RD",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381985",
            "telephone_number": "210-682-4300",
            "fax_number": "210-682-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BANDERA RD",
            "address_2": "STE 6",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782381985",
            "telephone_number": "210-682-4300",
            "fax_number": "210-682-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA M CAVAZOS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "CAVAZOS",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-682-4300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5559TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bandera Vision Center",
            "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 Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.