Organization Active NPI

Nueva Vista Eyecare

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1699517656
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NUEVA VISTA EYECARE
Practice address
14633 Potranco Rd Ste 200
San Antonio, TX 78253-2181
Phone
(210) 446-0966
Fax
(210) 446-6340
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Wendy Yarezzi Lopez, ODNPI 1649824442
Title
Owner/Optometrist
Phone
(210) 446-0966

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

14633 Potranco Rd Ste 200
San Antonio, TX 78253-2181

Mailing address

9511 Cactus Cyn
San Antonio, TX 78254-2558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250606000934 TX Part B Supplier - Clinic/Group Practice 5991215204 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

14633 Potranco Rd
San Antonio, TX 78253

14633 Potranco Rd
Ste 200
San Antonio, TX 78253
Phone (210) 446-0966

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1699517656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 CACTUS CYN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782542558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14633 POTRANCO RD STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782532181",
            "telephone_number": "210-446-0966",
            "fax_number": "210-446-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUEVA VISTA EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "YAREZZI",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "210-446-0966",
        "authorized_official_credential": "OD"
    },
    "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 Jun 3, 2025; 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.