Organization Active NPI

Mi Vision

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1689918716
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7796 Issued in TX
Legal business name
MI VISION
Practice address
6915 S Zarzamora St
Suite 107 B
San Antonio, TX 78224-1100
Phone
(210) 928-2022
Fax
(210) 928-2023
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Dr. Pedro A Cuba, O.D.NPI 1588932628
Title
Optometry Doctor
Phone
(210) 928-2022

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
Optometrist 152W00000X 7796 TX Primary

Addresses

Primary practice location

6915 S Zarzamora St
Suite 107 B
San Antonio, TX 78224-1100

Mailing address

6915 S Zarzamora St
Suite 107 B
San Antonio, TX 78224-1100
Phone (210) 928-2022

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000464 TX Part B Supplier - Clinic/Group Practice 2567607955 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX; Eagle Pass, TX

National Provider Directory

National Provider Directory

Locations

4522 Fredericksburg Rd
Ste B36
San Antonio, TX 78201
Phone (210) 923-2020

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1689918716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 S ZARZAMORA ST",
            "address_2": "SUITE 107 B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241100",
            "telephone_number": "210-928-2022",
            "fax_number": "210-928-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 S ZARZAMORA ST",
            "address_2": "SUITE 107 B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782241100",
            "telephone_number": "210-928-2022",
            "fax_number": "210-928-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "CUBA",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRY DOCTOR",
        "authorized_official_telephone_number": "210-928-2022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7796",
            "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 Nov 15, 2012; 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.