Alamo Cty Eye Physicians

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

H9797 Issued in TX

Legal business name

ALAMO CTY EYE PHYSICIANS

Practice address

3327 Research PLZ
Suite 306
San Antonio, TX 78235-5155

Phone

(210) 599-8882

Fax

(210) 590-3936

NPI assigned

Mar 1, 2013

Organization subpart

Yes

Parent organization

ALAMO CTY EYE PHYSICIANSAs reported in NPPES

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

Authorized official

Name

Dr. Jon Mark Berry, M.D.NPI 1174637482

Title

President

Phone

(210) 946-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Alamo Physicians Optical Doing business as

Tax ID family

Northeast Eye Physicians PA3 organizations share this tax ID, including this one

Part of

Northeast Eye Physicians PA

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alamo City Eye Physicians PA

  • Durable Medical Equipment & Medical Supplies
  • San Antonio, TX
  • NPI 1699899278
  NPD tax ID
• Alamo City Eye Physicians PA

  • Ophthalmology Physician
  • Live Oak, TX
  • NPI 1952407322
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Mark Berry, M.D.

  • Ophthalmology Physician
  • Live Oak, TX
  • NPI 1174637482
  NPD (past) Authorized official

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362096000000",
    "number": "1699016535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333147",
            "telephone_number": "210-946-2020",
            "fax_number": "210-590-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ",
            "address_2": "SUITE 306",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782355155",
            "telephone_number": "210-599-8882",
            "fax_number": "210-590-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMO CTY EYE PHYSICIANS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALAMO CTY EYE PHYSICIANS",
        "enumeration_date": "2013-03-01",
        "last_updated": "2013-03-01",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-946-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "H9797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "066273601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Physicians Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alamo City Wellness Center PC
• Alamo City Wellness PLLC
• Alamo Community Family Planning, Inc.
• Alamo Community Services
• Alamo Companion Services LLC
• Alamo Dentist,PC
• Alamo Dermatology Associates, P.a
• Alamo Diabetes Team, LLP
• Alamo Diabetex, Inc
• Alamo Diverse Medical Services PLLC

• Durable Medical Equipment & Medical Supplies in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.