Individual provider Active NPI

Emily May Zediker, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1790349074
Registry record updated Feb 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10753T Issued in TX
Practice address
800 McCullough Ave
San Antonio, TX 78215-1625
Phone
(210) 226-6169
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5647 FL
Optometrist 152W00000X 10753T TX Primary

Addresses

Primary practice location

800 McCullough Ave
San Antonio, TX 78215-1625

Mailing address

1500 SE Magnolia Ext Ste 101
Ocala, FL 34471-4452
Phone (352) 622-5183

Other practice location 1

4495 Roosevelt Blvd Ste 101
Jacksonville, FL 32210-3382
Phone (904) 384-3707

Other practice location 2

10300 Southside Blvd Ste 238
Jacksonville, FL 32256-0743
Phone (904) 363-8282

Other practice location 3

8520 SW Highway 200
Ocala, FL 34481-7730
Phone (352) 622-5183

Other practice location 4

4414 SW College Rd Ste 1462
Ocala, FL 34474-4790
Phone (352) 622-5183

Other practice location 5

6419 W Newberry Rd Ste K22
Gainesville, FL 32605-4790
Phone (352) 332-6702

Other practice location 6

1950 Laurel Manor Dr Ste 250
The Villages, FL 32162-5602
Phone (352) 622-5183

Other practice location 7

11352 N Williams St Ste 201A
Dunnellon, FL 34432-8310
Phone (352) 622-5183

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com Direct
Direct Messaging Address emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com Direct

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
I20230407000186 TX Practitioner - Optometry 4183951064 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Antonio Eye Center, PAGroup PAC ID 8325033764, 34 clinicians

Practice addresses (Care Compare)

800 McCullough Ave
San Antonio, TX 78215-1625
Phone (210) 242-7555

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
86.09
Promoting interoperability
82
Improvement activities
40
Cost
82.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10753TXMDDentist
10753TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word CurrentSince Sep 1, 2025 Accepting new patients
San Antonio Eye Center, PA CurrentSince Jan 1, 2023 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Sep 1, 2025 Accepting new patients
San Antonio Eye Center, P.a. CurrentSince Jan 1, 2023 Accepting new patients
San Antonio Eye Center PA Optometrist Past Accepting new patients
San Antonio Eye Center, PA Past Accepting new patients

Locations

622 Camden St
San Antonio, TX 78215
Phone (210) 224-1881

2119 Commercial Ave
San Antonio, TX 78221
Phone (210) 922-0604

19292 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 490-6759

4203 E Southcross Blvd
San Antonio, TX 78222

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

14807 San Pedro Ave
San Antonio, TX 78232
Phone (210) 495-2020

710 Augusta
San Antonio, TX 78215
Phone (210) 225-6131

6151 NW Loop 410
Ste 200
San Antonio, TX 78238
Phone (210) 222-9172

523 Dallas St
San Antonio, TX 78215

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

511 Dallas St
San Antonio, TX 78215

999 E Basse Rd
Ste 127
San Antonio, TX 78209
Phone (210) 821-6901

11149 Westwood Loop
San Antonio, TX 78253

800 McCullough Ave
San Antonio, TX 78215
Phone (210) 226-8189

17738 Ripps Kreusler
Schertz, TX 78154

Interoperability endpoints

  • Direct secure messaging: emily.zediker.p1@direct.saeye.nextgenshare.com

Organizations & group practices 6

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1790349074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 SE MAGNOLIA EXT STE 101",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344714452",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782151625",
            "telephone_number": "210-226-6169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4495 Roosevelt Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322103382",
            "country_code": "US",
            "telephone_number": "904-384-3707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10300 Southside Blvd Ste 238",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322560743",
            "country_code": "US",
            "telephone_number": "904-363-8282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8520 SW Highway 200",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344817730",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4414 SW College Rd Ste 1462",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344744790",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6419 W Newberry Rd Ste K22",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326054790",
            "country_code": "US",
            "telephone_number": "352-332-6702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Laurel Manor Dr Ste 250",
            "address_purpose": "LOCATION",
            "city": "The Villages",
            "state": "FL",
            "postal_code": "321625602",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11352 N Williams St Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Dunnellon",
            "state": "FL",
            "postal_code": "344328310",
            "country_code": "US",
            "telephone_number": "352-622-5183",
            "fax_number": "352-629-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEDIKER",
        "first_name": "EMILY",
        "middle_name": "MAY",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2023-02-13",
        "certification_date": "2023-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5647",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10753T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "8520 SW Highway 200",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344817730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "4414 SW College Rd Ste 1462",
            "city": "Ocala",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344744790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "11352 N Williams St Ste 201A",
            "city": "Dunnellon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "344328310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily.zedikerod.p1@direct.ocalaeye.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Service Provider Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD / PHI",
            "address_1": "1950 Laurel Manor Dr Ste 250",
            "city": "The Villages",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321625602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.