Individual provider Active NPI

Kevin Pizarro Miller, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1780568733
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3313 Issued in OK
Practice address
9219 Vista West Dr Apt 10101
San Antonio, TX 78245-4378
Phone
(787) 909-0014
NPI assigned
Aug 4, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3313 OK Primary

Addresses

Primary practice location

9219 Vista West Dr Apt 10101
San Antonio, TX 78245-4378

Mailing address

9219 Vista West Dr Apt 10101
San Antonio, TX 78245-4378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3313OKMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780568733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9219 VISTA WEST DR APT 10101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9219 VISTA WEST DR APT 10101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782454378",
            "telephone_number": "787-909-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZARRO MILLER",
        "first_name": "KEVIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2025; 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.