Individual provider Active NPI

Rachel D Tellez, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1720040231
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4254TG Issued in TX
Practice address
24165 Ih 10 W
Ste 229
San Antonio, TX 78257-1159
Phone
(210) 698-7884
Fax
(210) 698-7886
NPI assigned
Apr 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4254TG TX Primary

Addresses

Primary practice location

24165 Ih 10 W
Ste 229
San Antonio, TX 78257-1159

Mailing address

24165 W Ih 10
Ste 125
San Antonio, TX 78257-1160
Phone (210) 698-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000483 TX Practitioner - Optometry 5395738850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rachel Duran Tellez OD PAGroup PAC ID 6103991583, 2 clinicians

Practice addresses (Care Compare)

24165 W Ih
10 Suite 125
San Antonio, TX 78257-1160

24165 W Ih 10
Suite 125
San Antonio, TX 78257-1109
Phone (210) 698-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4254TXMDChiropractor
4254TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Duran Tellez OD PA Optometrist CurrentSince Feb 15, 2008 Accepting new patients
Aeg Texas Professional PLLC Optometrist PastSince Mar 31, 2021 Accepting new patients
Agnes L Palys OD PC Optometrist Past Accepting new patients

Locations

24165 Ih 10 W
Ste 229
San Antonio, TX 78257
Phone (210) 698-7884

24165 Ih 10 W
Ste 125
San Antonio, TX 78257
Phone (210) 698-0610

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720040231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24165 W IH 10",
            "address_2": "STE 125",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571160",
            "telephone_number": "210-698-2020",
            "fax_number": "210-698-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24165 IH 10 W",
            "address_2": "STE 229",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571159",
            "telephone_number": "210-698-7884",
            "fax_number": "210-698-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELLEZ",
        "first_name": "RACHEL",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4254TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.