Eyes of Cresta Bella, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYES OF CRESTA BELLA, PLLC

Practice address

19739 Ih 10 W Ste 112
San Antonio, TX 78257-1816

Phone

(210) 361-7720

Fax

(210) 361-3990

NPI assigned

Dec 31, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Angela Marie Garza Offoegbu, ODNPI 1265846984

Title

Owner

Phone

(210) 361-7720

Specialties & licenses 1

Addresses

Other names 1

• Eyes of Cresta Bella Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Marie Garza Offoegbu, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1265846984
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1801435474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19739 IH 10 W STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571816",
            "telephone_number": "210-361-7720",
            "fax_number": "210-361-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19739 IH 10 W STE 112",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571816",
            "telephone_number": "210-361-7720",
            "fax_number": "210-361-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF CRESTA BELLA, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-31",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "OFFOEGBU",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "MARIE GARZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-361-7720",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyes of Cresta Bella",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyes of Cresta Bella",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Katherine Michelle Eyster, DOULA

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.