Organization Active NPI

Mark K Davis & Associates, PA

Doing business as Alamo Eye Care

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1770765497
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3460TG Issued in TX
Legal business name
MARK K DAVIS & ASSOCIATES, PA
Doing business as
Alamo Eye Care
Practice address
6450 NW Loop 410
Suite 115
San Antonio, TX 78238-4209
Phone
(210) 521-2085
Fax
(210) 509-0962
NPI assigned
Dec 4, 2007
Last updated
Jan 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2008

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

Authorized official

Name
Mark Keith Davis, OD
Title
President
Phone
(210) 521-2085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3460TG TX Primary

Addresses

Primary practice location

6450 NW Loop 410
Suite 115
San Antonio, TX 78238-4209

Mailing address

6450 NW Loop 410
Suite 115
San Antonio, TX 78238-4209
Phone (210) 521-2085

Other identifiers 1

IdentifierTypeStateIssuer
00000072FCOtherTXBCBS

Other names 1

  • ALAMO EYE CARE Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201478400000",
    "number": "1770765497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384209",
            "telephone_number": "210-521-2085",
            "fax_number": "210-509-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384209",
            "telephone_number": "210-521-2085",
            "fax_number": "210-509-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK K DAVIS & ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-01-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-521-2085",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3460TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00000072FC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALAMO EYE CARE",
            "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 Jan 28, 2008; 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.