NPIMap

Organization Active NPI

Dr. Michael R. Castro & Associates, PLLC

  • Optometrist
  • Schertz, TX
National Provider Identifier
1770870883
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7776T Issued in TX
Legal business name
DR. MICHAEL R. CASTRO & ASSOCIATES, PLLC
Practice address
17460 Ih 35 N
Ste. 412
Schertz, TX 78154-1243
Phone
(210) 590-2482
Fax
(210) 590-2694
NPI assigned
Jul 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Authorized official

Name
Mr. Michael R. Castro, .O.DNPI 1841675360
Title
Owner/Doctor
Phone
(210) 590-2482

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 7776T TX Primary

Addresses

Primary practice location

17460 Ih 35 N
Ste. 412
Schertz, TX 78154-1243

Mailing address

17460 Interstate 35N Ste 412
Schertz, TX 78154
Phone (210) 590-2482

Other names 3

  • Texas State Optical - Schertz Doing business as
  • Dr. Leigha M. Nielsen & Associates Former legal business name
  • Mike Castro OD, PLLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120201000235 TX Part B Supplier - Clinic/Group Practice 5597922682 Receives reassigned benefits from 1 practitioner
Practice locations: Schertz, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1310169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669852800000",
    "number": "1770870883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17460 INTERSTATE 35N STE 412",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "78154",
            "telephone_number": "210-590-2482",
            "fax_number": "210-579-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17460 IH 35 N",
            "address_2": "STE. 412",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541243",
            "telephone_number": "210-590-2482",
            "fax_number": "210-590-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. MICHAEL R. CASTRO & ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-09",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "210-590-2482",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": ".O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7776T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texas State Optical - Schertz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas State Optical - Schertz",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Leigha M. Nielsen & Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mike Castro OD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.