Individual provider Active NPI

Hang Jiang

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1780136515
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9102T Issued in TX
Practice address
15677B San Pedro Ave
San Antonio, TX 78232-3732
Phone
(210) 490-9205
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9102T TX Primary

Addresses

Primary practice location

15677B San Pedro Ave
San Antonio, TX 78232-3732

Mailing address

PO Box 160308
San Antonio, TX 78280-2508
Phone (210) 366-1199

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
I20170130000666 TX Practitioner - Optometry 2466734322 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1205 N FM 1604
Suite 117
San Antonio, TX 78258-4625
Phone (210) 490-9293

15677 B San Pedro Ave
San Antonio, TX 78232-3732
Phone (210) 490-9205

3551 Justin Rd
Suite 150
Flower Mound, TX 75028-6213
Phone (972) 355-5152

5011 Walzem Rd
Windcrest, TX 78218-2118
Phone (210) 646-6194

5230 De Zavala Rd
San Antonio, TX 78249-1696
Phone (210) 694-0500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 1, 2019 Accepting new patients
DRS. Bell, Davis, Elder & Assoc Optometrist Past Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1205 N Loop 1604 W
San Antonio, TX 78258
Phone (210) 319-2900

10650 Culebra Rd
San Antonio, TX 78251
Phone (210) 570-2060

5230 De Zavala Rd
San Antonio, TX 78249
Phone (210) 694-0500

15677 San Pedro Ave
#B
San Antonio, TX 78232
Phone (210) 490-9205

5011 Walzem Rd
Windcrest, TX 78218
Phone (210) 646-6194

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1780136515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160308",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782802508",
            "telephone_number": "210-366-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15677B SAN PEDRO AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782323732",
            "telephone_number": "210-490-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "HANG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9102T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.