San Antonio Eyeworks PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

8342 Issued in TX

Legal business name

SAN ANTONIO EYEWORKS PLLC

Practice address

4553 N Loop 1604 W Ste 1225
San Antonio, TX 78249-1365

Phone

(612) 554-6107

NPI assigned

Aug 19, 2015

Organization subpart

No

Name

Dr. Samin Pezeshk, ODNPI 1801024716

Title

OD/Owner

Phone

(612) 554-6107

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samin Pezeshk, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1801024716
  Medicare reassignment NPD Authorized official
• Jessica Marie Hernandez, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1891566873
  Medicare reassignment NPD

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

Medicare medical equipment & supply locations

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 13, 2023.

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1780050286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4553 N LOOP 1604 W STE 1225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491365",
            "telephone_number": "612-554-6107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 N LOOP 1604 W STE 1225",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491365",
            "telephone_number": "612-554-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN ANTONIO EYEWORKS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-19",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "PEZESHK",
        "authorized_official_first_name": "SAMIN",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "612-554-6107",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "8342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Antonio Eye Center, PA
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• San Antonio Eye Center, PA
• San Antonio Eye Center, PA
• San Antonio Family Chiropractic PLLC
• San Antonio Family Dental PLLC
• San Antonio Family Physicians, PA
• San Antonio Family Psychiatry
• San Antonio Family Therapist PLLC

• All providers in San Antonio, TX
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; 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.