NPIMap

Organization Active NPI

Abdep LP

Doing business as Eye Tx Vision Centers

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1760404388
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ABDEP LP
Doing business as
Eye Tx Vision Centers
Practice address
15677B San Pedro Ave
San Antonio, TX 78232
Phone
(210) 366-1199
Fax
(210) 349-7111
NPI assigned
Jul 24, 2006
Last updated
Aug 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

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

Authorized official

Name
Dr. Marlan G Anderson, ODNPI 1871533745
Title
Partner
Phone
(210) 366-1199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

15677B San Pedro Ave
San Antonio, TX 78232

Mailing address

PO Box 160308
San Antonio, TX 78280-2508
Phone (210) 366-1199

Other names 1

  • Eye Tx Vision Centers Doing business as

National Provider Directory

National Provider Directory

Locations

15677 San Pedro Ave
#B
San Antonio, TX 78232
Phone (210) 490-9205

5011 Walzem Rd
Windcrest, TX 78218
Phone (210) 646-6194

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1760404388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782802508",
            "telephone_number": "210-366-1199",
            "fax_number": "210-349-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677B SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78232",
            "telephone_number": "210-366-1199",
            "fax_number": "210-349-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABDEP LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "MARLAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "210-366-1199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Tx Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 29, 2011; 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.