Individual provider Active NPI

Christopher Lee Trevino, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1679914725
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8149-TG Issued in TX
Practice address
15677B San Pedro Ave
San Antonio, TX 78232-3732
Phone
(210) 490-9205
NPI assigned
Jul 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8149-TG TX Primary

Addresses

Primary practice location

15677B San Pedro Ave
San Antonio, TX 78232-3732

Mailing address

PO Box 160308
San Antonio, TX 78280-2508
Phone (210) 366-1199

Other practice location 1

1250 Flour Bluff Dr
Corpus Christi, TX 78418-5102
Phone (361) 939-1128

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
I20131003000060 TX Practitioner - Optometry 9830323922 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8149-TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
Carlos Manrique de Lara Mdpa Optometrist CurrentSince Feb 3, 2020 Accepting new patients
JSK Eyecare Optometrist CurrentSince Mar 1, 2020 Accepting new patients
William Justus Head MD PA PastSince Feb 3, 2020 Accepting new patients
Heriberto D Ramos O.D.,P.a. Optometrist PastSince Jul 12, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
DRS. Bell, Davis, Elder & Assoc Optometrist PastSince Aug 6, 2019 Accepting new patients

Locations

901 N Bedell Ave
Ste E
Del Rio, TX 78840
Phone (830) 775-2020

2518 W Trenton Rd
Edinburg, TX 78539
Phone (956) 661-9000

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

15677 San Pedro Ave
#B
San Antonio, TX 78232
Phone (210) 490-9205

Organizations & group practices 7

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": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1679914725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782802508",
            "telephone_number": "210-366-1199",
            "fax_number": "210-349-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677B SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323732",
            "telephone_number": "210-490-9205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Flour Bluff Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784185102",
            "country_code": "US",
            "telephone_number": "361-939-1128",
            "fax_number": "844-683-7204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "CHRISTOPHER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8149-TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.