Individual provider Active NPI

Wendy Y Lopez, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1649824442
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9799T Issued in TX
Practice address
14633 Potranco Rd Ste 200
San Antonio, TX 78253-2181
Phone
(210) 446-0966
Fax
(210) 446-0966
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9799T TX Primary

Addresses

Primary practice location

14633 Potranco Rd Ste 200
San Antonio, TX 78253-2181

Mailing address

9511 Cactus Cyn
San Antonio, TX 78254-2558

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
I20190919000258 TX Practitioner - Optometry 8921338823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

10650 Culebra Rd
Suite 132
San Antonio, TX 78251-4950
Phone (210) 523-2020

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Mar 8, 2022 Accepting new patients
Nueva Vista Eyecare Optometrist CurrentSince Jun 25, 2025 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

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

315 E Colorado St
Pearsall, TX 78061
Phone (830) 334-8077

10650 Culebra Rd
Ste 132
San Antonio, TX 78251
Phone (210) 523-2020

14633 Potranco Rd
Ste 200
San Antonio, TX 78253
Phone (210) 446-0966

14633 Potranco Rd
San Antonio, TX 78253

10650 Culebra Rd
San Antonio, TX 78251
Phone (210) 570-2060

10722 Potranco Rd
Ste 107
San Antonio, TX 78251
Phone (210) 680-2020

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1649824442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 CACTUS CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14633 POTRANCO RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532181",
            "telephone_number": "210-446-0966",
            "fax_number": "210-446-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ",
        "first_name": "WENDY",
        "middle_name": "Y",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9799T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.