Organization Active NPI

Enhance Vision Care PLLC

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1699480764
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ENHANCE VISION CARE PLLC
Practice address
6301 NW Loop 410 Ste 21a
San Antonio, TX 78238-3852
Phone
(210) 680-6097
Fax
(210) 509-4749
NPI assigned
Jan 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Daniel J Gonzalez
Title
Operations Manager
Phone
(210) 387-8654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6301 NW Loop 410 Ste 21a
San Antonio, TX 78238-3852

Mailing address

6301 NW Loop 410 Ste 21a
San Antonio, TX 78238-3852
Phone (210) 680-6097

National Provider Directory

National Provider Directory

Locations

6301 NW Loop 410
Ste 21A
San Antonio, TX 78238
Phone (210) 680-6097

Practitioners & affiliated clinicians

Practitioners 1

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": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1699480764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410 STE 21A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383852",
            "telephone_number": "210-680-6097",
            "fax_number": "210-509-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 NW LOOP 410 STE 21A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782383852",
            "telephone_number": "210-680-6097",
            "fax_number": "210-509-4749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENHANCE VISION CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "210-387-8654"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "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 Dec 13, 2023; 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.