Organization Active NPI

Fiesta Eye Care PLLC

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1740556802
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5931T Issued in TX
Legal business name
FIESTA EYE CARE PLLC
Practice address
2620 Harry Wurzbach Rd
103
San Antonio, TX 78209-5004
Phone
(210) 828-4066
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Dr. Linda Visitsunthorn, O.D.NPI 1215068986
Title
Optometrist/Owner
Phone
(210) 828-4066

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 5931T TX Primary

Addresses

Primary practice location

2620 Harry Wurzbach Rd
103
San Antonio, TX 78209-5004

Mailing address

2620 Harry Wurzbach Rd
103
San Antonio, TX 78209-5004
Phone (210) 828-4066

Other names 1

  • Linda Visitsunthorn Other name

National Provider Directory

National Provider Directory

Locations

2620 Harry Wurzbach Rd
#103
San Antonio, TX 78209
Phone (210) 828-4066

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": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1740556802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 HARRY WURZBACH RD",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095004",
            "telephone_number": "210-828-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 HARRY WURZBACH RD",
            "address_2": "103",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782095004",
            "telephone_number": "210-828-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIESTA EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "VISITSUNTHORN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "210-828-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5931T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Visitsunthorn",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 22, 2012; 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.