Active NPI
Joelle M Bouldoukian-Choucair, O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1689623894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6180T
- Practice address
- 300 W Bitters Rd Ste 130
San Antonio, TX 78216-1690 - Phone
- (210) 399-3675
- Fax
- (210) 598-9235
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6180T | TX | Primary |
Addresses
Primary practice location
300 W Bitters Rd Ste 130
San Antonio, TX 78216-1690
Mailing address
300 W Bitters Rd Ste 130
San Antonio, TX 78216-1690
Phone (210) 399-3675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0063FD | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785196800000",
"number": "1689623894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 W BITTERS RD STE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782161690",
"telephone_number": "210-399-3675",
"fax_number": "210-598-9235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W BITTERS RD STE 130",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782161690",
"telephone_number": "210-399-3675",
"fax_number": "210-598-9235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOULDOUKIAN-CHOUCAIR",
"first_name": "JOELLE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2026-07-28",
"certification_date": "2026-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6180T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0063FD",
"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 Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.