Individual provider Active NPI

Santino Lujan, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1801455654
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9722 Issued in TX
Practice address
18030 N US Highway 281 Ste 205B
San Antonio, TX 78232-1416
Phone
(210) 545-3183
Fax
(210) 545-3193
NPI assigned
Jun 6, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9722 TX Primary

Addresses

Primary practice location

18030 N US Highway 281 Ste 205B
San Antonio, TX 78232-1416

Mailing address

18030 N US Highway 281 Ste 205B
San Antonio, TX 78232-1416
Phone (210) 545-3183

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
I20190927000618 TX Practitioner - Optometry 3577893957 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
May accept Medicare assignment
Group practices
CLM Eyecare PLLCGroup PAC ID 2668854357, 2 clinicians
MJW Eyecare Associates, P.a.Group PAC ID 4880840222, 3 clinicians

Practice addresses (Care Compare)

20079 Stone Oak Pkwy
Suite 1104
San Antonio, TX 78258-6943
Phone (830) 205-2420

8910 Bandera Rd
Suite 105
San Antonio, TX 78250-3227
Phone (210) 682-4300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9722TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MJW Eyecare Associates, P.a. Optometrist CurrentSince Feb 2, 2021 Accepting new patients
CLM Eyecare PLLC Optometrist CurrentSince May 12, 2025 Accepting new patients

Locations

20079 Stone Oak Pkwy
Ste 1104
San Antonio, TX 78258
Phone (713) 501-8907

8910 Bandera Rd
Ste 105
San Antonio, TX 78250
Phone (210) 682-4300

3040 E Main St
Ste Q
Uvalde, TX 78801
Phone (210) 222-2154

Organizations & group practices 2

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": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1801455654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18030 N US HIGHWAY 281 STE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321416",
            "telephone_number": "210-545-3183",
            "fax_number": "210-545-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18030 N US HIGHWAY 281 STE 205B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321416",
            "telephone_number": "210-545-3183",
            "fax_number": "210-545-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUJAN",
        "first_name": "SANTINO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.