Individual provider Active NPI

Ashley Faye McClure, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1770848954
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8038T Issued in TX
Practice address
8403 State Highway 151
Ste B
San Antonio, TX 78245-2199
Phone
(210) 354-2020
Fax
(210) 558-9622
NPI assigned
Jul 12, 2012
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8038T TX Primary

Addresses

Primary practice location

8403 State Highway 151
Ste B
San Antonio, TX 78245-2199

Mailing address

23823 Castle Peak
San Antonio, TX 78258
Phone (210) 307-9389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130109000100 TX Practitioner - Optometry 0244483956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celeste Acosta, O.D., P.C.Group PAC ID 4688705163, 2 clinicians

Practice addresses (Care Compare)

11864 Bandera Rd
Helotes, TX 78023-4132
Phone (210) 695-2222

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8038TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Celeste Acosta, O.D., P.C. CurrentSince Jan 24, 2023 Accepting new patients
William Justus Head MD PA Past Accepting new patients
The Eye Clinic PastSince Jan 24, 2023 Accepting new patients

Locations

11864 Bandera Rd
Helotes, TX 78023
Phone (210) 695-2222

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61275

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1770848954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 CASTLE PEAK",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78258",
            "telephone_number": "210-307-9389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 STATE HIGHWAY 151",
            "address_2": "STE B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452199",
            "telephone_number": "210-354-2020",
            "fax_number": "210-558-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "ASHLEY",
        "middle_name": "FAYE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8038T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.