Organization Active NPI

Clear Vision San Antonio

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1801244298
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CLEAR VISION SAN ANTONIO
Practice address
8002 West Ave
San Antonio, TX 78213-1865
Phone
(210) 904-2020
Fax
(210) 348-8768
NPI assigned
May 26, 2016
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Gabriela Buentello Lopez
Title
Practice Administrator
Phone
(210) 904-2020

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X TX Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X TX
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X TX
Retina Specialist (Ophthalmology) Physician 207WX0107X TX

Addresses

Primary practice location

8002 West Ave
San Antonio, TX 78213-1865

Mailing address

8002 West Ave
San Antonio, TX 78213-1865
Phone (210) 904-2020

Other practice location 1

1314 E Sonterra Blvd Ste 2103
San Antonio, TX 78258-4286
Phone (210) 904-2020

Other practice location 2

2149 El Indio Hwy Ste 2
Eagle Pass, TX 78852-5455
Phone (830) 213-8414

Other identifiers 1

IdentifierTypeStateIssuer
364004701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160906000999 TX Part B Supplier - Clinic/Group Practice 2769778521 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

2149 El Indio Hwy
#2
Eagle Pass, TX 78852
Phone (830) 213-8414

2149 El Indio Hwy
Ste 2
Eagle Pass, TX 78852
Phone (830) 213-8414

2191 NW Military Hwy
San Antonio, TX 78213
Phone (210) 348-8788

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13871/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1801244298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131865",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 WEST AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131865",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Sonterra Blvd Ste 2103",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584286",
            "country_code": "US",
            "telephone_number": "210-904-2020",
            "fax_number": "210-348-8768",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2149 El Indio Hwy Ste 2",
            "address_purpose": "LOCATION",
            "city": "Eagle Pass",
            "state": "TX",
            "postal_code": "788525455",
            "country_code": "US",
            "telephone_number": "830-213-8414",
            "fax_number": "830-213-8424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR VISION SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "BUENTELLO LOPEZ",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-904-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364004701",
            "state": "TX"
        }
    ],
    "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 Sep 30, 2025; 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.