Celeste Acosta, O.D., P.C.
Organization Active NPI Eyewear Supplier · Helotes, TX
NPI 1760706014 · NPPES record last updated Apr 8, 2011
Key facts
- NPI
- 1760706014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 5849TG (TX)
- Legal business name
- CELESTE ACOSTA, O.D., P.C.
- Practice address
- 11864 Bandera Rd
Helotes, TX 78023-4132 - Phone
- (210) 695-2222
- Fax
- (210) 695-2225
- NPI assigned
- Mar 16, 2010
- Organization subpart
- No
Authorized official
- Name
- Celeste Acosta Wade, O.D.
- Title
- Director
- Phone
- (361) 722-9218
Practitioners 4
-
Celeste Acosta, O.D.
-
Ashley Atencio, O.D.
-
Thomas W. Grabow, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100628000249 | TX | Part B Supplier - Clinic/Group Practice | 4688705163 |
Receives reassigned benefits from 3 practitioners Practice locations: Helotes, TX |
National Provider Directory
Locations
11864 Bandera Rd
Helotes, TX 78023
Phone (210) 695-2222
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 5849TG | TX | Yes |
Addresses
Primary practice location
11864 Bandera Rd
Helotes, TX 78023-4132
Mailing address
11864 Bandera Rd
Helotes, TX 78023-4132
Phone (210) 695-2222
Other names
- The Eye Clinic
Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.