Organization Active NPI

Vision Associates of South Texas

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1790951150
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L5455 Issued in TX
Legal business name
VISION ASSOCIATES OF SOUTH TEXAS
Practice address
2424 Babcock Rd Ste 101
San Antonio, TX 78229-6031
Phone
(210) 692-1388
Fax
(210) 692-1629
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Lisa Marten, M.D.NPI 1861527483
Title
Owner/Physician
Phone
(210) 692-1388

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X L5455 TX Primary

Addresses

Primary practice location

2424 Babcock Rd Ste 101
San Antonio, TX 78229-6031

Mailing address

2424 Babcock Rd Ste 101
San Antonio, TX 78229-6031
Phone (210) 692-1388

Other names 1

  • South Texas Eye Institute Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090413000156 TX Part B Supplier - Clinic/Group Practice 5496802324 Receives reassigned benefits from 8 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2424 Babcock Rd
#101S
San Antonio, TX 78229
Phone (210) 692-1388

7500 Barlite Blvd
#213S
San Antonio, TX 78224
Phone (210) 692-1388

7500 Barlite Blvd
Ste 213
San Antonio, TX 78224
Phone (210) 927-1832

Interoperability endpoints

  • Direct secure messaging: jperez-becerra@southtxeye.intellechartdirect.net

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1790951150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 BABCOCK RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296031",
            "telephone_number": "210-692-1388",
            "fax_number": "210-692-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 BABCOCK RD STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296031",
            "telephone_number": "210-692-1388",
            "fax_number": "210-692-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION ASSOCIATES OF SOUTH TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "MARTEN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "210-692-1388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L5455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 31, 2011; 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.