Organization Active NPI

Athena Eye Institute PLLC

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1679129043
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ATHENA EYE INSTITUTE PLLC
Practice address
3512 Paesanos Pkwy Ste 203
San Antonio, TX 78231-1246
Phone
(210) 780-7595
Fax
(210) 519-3172
NPI assigned
Aug 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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

Authorized official

Name
Dr. Ashvini Reddy, MDNPI 1417102476
Title
Owner
Phone
(210) 780-7595

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

3512 Paesanos Pkwy Ste 203
San Antonio, TX 78231-1246

Mailing address

3512 Paesanos Pkwy Ste 203
San Antonio, TX 78231-1246
Phone (210) 780-7595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190911000365 TX Part B Supplier - Clinic/Group Practice 3577892991 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

3512 Paesanos Pkwy
Ste 203
San Antonio, TX 78231
Phone (210) 780-7595

Interoperability endpoints

  • Direct secure messaging: areddy@athena.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 3

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": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601769600000",
    "number": "1679129043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 PAESANOS PKWY STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311246",
            "telephone_number": "210-780-7595",
            "fax_number": "210-519-3172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 PAESANOS PKWY STE 203",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782311246",
            "telephone_number": "210-780-7595",
            "fax_number": "210-519-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA EYE INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "ASHVINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-780-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 4, 2020; 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.