Individual provider Active NPI

Antonio Urbina, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1730558065
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8776T Issued in TX
Practice address
6818 Heuermann Rd
San Antonio, TX 78256-9603
Phone
(210) 308-5550
NPI assigned
Sep 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8776T TX Primary

Addresses

Primary practice location

6818 Heuermann Rd
San Antonio, TX 78256-9603

Mailing address

6818 Heuremann Road
San Antonio, TX 78256
Phone (210) 308-5550

Other practice location 1

22906 US Highway 281 N Ste 101
San Antonio, TX 78258-7635
Phone (210) 495-7483

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
I20170106000969 TX Practitioner - Optometry 6901187921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLCGroup PAC ID 4082952874, 234 clinicians
Urbina Family Eyecare LLCGroup PAC ID 3577930395, 2 clinicians

Practice addresses (Care Compare)

22906 US Hwy 281 N
Suite 101
San Antonio, TX 78258-7635
Phone (210) 495-7483

26112 Overlook Pkwy
Suite 1110
San Antonio, TX 78260-6054
Phone (210) 236-7273

2703 Richmond Rd
Texarkana, TX 75503-2328
Phone (903) 838-0783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8776TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Urbina Family Eyecare LLC Optometrist CurrentSince Oct 26, 2022 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Apr 23, 2024 Accepting new patients
Emerson Family Eyecare LLC Optometrist CurrentSince Oct 26, 2022 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

26112 Overlook Pkwy
Ste 1110
San Antonio, TX 78260
Phone (210) 236-7273

22906 US Highway 281 N
Ste 101
San Antonio, TX 78258
Phone (210) 492-7483

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Interoperability endpoints

  • Direct secure messaging: aurbina@loec.intellechartdirect.net

Organizations & group practices 6

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": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1730558065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 HEUREMANN ROAD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78256",
            "telephone_number": "210-308-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 HEUERMANN RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782569603",
            "telephone_number": "210-308-5550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22906 US Highway 281 N Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782587635",
            "country_code": "US",
            "telephone_number": "210-495-7483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBINA",
        "first_name": "ANTONIO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-16",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8776T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.