Organization Active NPI

Texas State Optical of Santa Fe, P.a.

  • Optometrist
  • Santa Fe, TX
National Provider Identifier
1760824643
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TEXAS STATE OPTICAL OF SANTA FE, P.A.
Practice address
13135 Highway 6
Santa Fe, TX 77510-7681
Phone
(409) 925-2506
Fax
(409) 925-5460
NPI assigned
Jul 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Mayra Alejandra Tovias, ODNPI 1629446240
Title
Owner
Phone
(409) 925-2506

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 Primary

Addresses

Primary practice location

13135 Highway 6
Santa Fe, TX 77510-7681

Mailing address

13135 Highway 6
Santa Fe, TX 77510-7681
Phone (409) 925-2506

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528001815 TX Part B Supplier - Clinic/Group Practice 7214150846 Receives reassigned benefits from 2 practitioners
Practice locations: Santa Fe, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2288529Texas State Optical of Santa Fe13135 Highway 6, Santa Fe, TX 77510Certificate of waiverAug 25, 2027

National Provider Directory

National Provider Directory

Locations

13135 Highway 6
Santa Fe, TX 77510
Phone (409) 925-2506

Practitioners & affiliated clinicians

Practitioners 3

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": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1760824643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13135 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775107681",
            "telephone_number": "409-925-2506",
            "fax_number": "409-925-5460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13135 HIGHWAY 6",
            "city": "SANTA FE",
            "state": "TX",
            "postal_code": "775107681",
            "telephone_number": "409-925-2506",
            "fax_number": "409-925-5460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS STATE OPTICAL OF SANTA FE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "TOVIAS",
        "authorized_official_first_name": "MAYRA",
        "authorized_official_middle_name": "ALEJANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-925-2506",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.