Organization Active NPI

Carlos E. Flores and Associates P.C.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1649497496
Registry record updated Aug 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5676T Issued in TX
Legal business name
CARLOS E. FLORES AND ASSOCIATES P.C.
Practice address
6301 NW Loop 410 Ste N18A
Texas State Optical
San Antonio, TX 78238-3810
Phone
(210) 681-4720
Fax
(210) 523-6677
NPI assigned
Apr 20, 2007
Last updated
Aug 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2010

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

Authorized official

Name
Carlos Enrique Flores, O.D.NPI 1790800613
Title
Director
Phone
(210) 681-4720

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5676T TX Primary

Addresses

Primary practice location

6301 NW Loop 410 Ste N18A
Texas State Optical
San Antonio, TX 78238-3810

Mailing address

6301 NW Loop 410 Ste N18A
Texas State Optical
San Antonio, TX 78238-3810
Phone (210) 681-4720

Other identifiers 1

IdentifierTypeStateIssuer
092987901MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050817000182 TX Part B Supplier - Clinic/Group Practice 9335179571 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

6301 NW Loop 410
Ste N18A
San Antonio, TX 78238
Phone (210) 681-4720

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1649497496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410 STE N18A",
            "address_2": "TEXAS STATE OPTICAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383810",
            "telephone_number": "210-681-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410 STE N18A",
            "address_2": "TEXAS STATE OPTICAL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383810",
            "telephone_number": "210-681-4720",
            "fax_number": "210-523-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS E. FLORES AND ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "210-681-4720",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5676T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "092987901",
            "state": "TX"
        }
    ],
    "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 Aug 26, 2010; 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.