Bexar Eye PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

BEXAR EYE PLLC

Practice address

14603 Huebner Rd BLDG 12
San Antonio, TX 78230-5481

Phone

(210) 774-1109

NPI assigned

Apr 13, 2022

Organization subpart

No

Name

Dr. Jake Trinidad, MDNPI 1861787418

Title

Physician/Owner

Phone

(210) 774-1109

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

• Jake Julian Trinidad, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1861787418

  Ophthalmology, TX

  Medicare reassignment NPD Authorized official

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• Direct secure messaging: jtrinidad@trinidadeye.intellechartdirect.net

• Trinidad Vision Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 23, 2022.

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1700528239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 12",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305481",
            "telephone_number": "210-774-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14603 HUEBNER RD BLDG 12",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782305481",
            "telephone_number": "210-774-1109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4025 E Southcross Blvd Bldg 4",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782223640",
            "country_code": "US",
            "telephone_number": "210-774-1109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEXAR EYE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "TRINIDAD",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "210-774-1109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1861787418",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700528239",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinidad Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Bexar Emergency Physicians, PLLC
• Bexar Healthcare Consortium
• Bexar Healthcare Consortium, LLC
• Bexar Home Health Systems LLC
• Bexar Imaging Center LLC
• Bexar Imaging Center, LLC

• All providers in San Antonio, TX
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2022; 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.