Arthur A Medina Jr., O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2120TG Issued in TX

Practice address

2903 N Saint Marys St
San Antonio, TX 78212-3532

Phone

(210) 225-4141

Fax

(210) 229-9400

NPI assigned

Apr 3, 2006

Sex

Male

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

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, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Arthur a Medina OD PCGroup PAC ID 5991864514, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Dr Arthur a Medina OD PC

  • Optometrist
  • San Antonio, TX
  • NPI 1073532099
  Medicare reassignment Care Compare group NPD Authorized official
• Dr Arthur a. Medina OD P a

  • Optometrist
  • Castroville, TX
  • NPI 1710539564
  NPD Authorized official
• Anestexia LLC

  • Anesthesiology Physician
  • San Antonio, TX
  • NPI 1457004244
  NPD (past)

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1669434155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 N SAINT MARYS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123532",
            "telephone_number": "210-225-4141",
            "fax_number": "210-229-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 N SAINT MARYS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782123532",
            "telephone_number": "210-225-4141",
            "fax_number": "210-229-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "ARTHUR",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2120TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093257601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allyson M Medina, LPC, LMFT
• Alondra Medina, RBT
• Alyza Medina
• Amber Medina
• Analise Medina
• Brandi Medina
• Cecilia Medina
• Christopher Javier Medina
• Cintia Isabel Medina
• Cynthia Medina

• 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 Jan 7, 2015; 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.