Active NPI
Yolanda G. Diaz, O. D.
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5481TG
- Practice address
- 4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640 - Phone
- (210) 932-4922
- Fax
- (210) 932-0047
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 5481TG | TX | |
| Vision Therapy Optometrist | 152WV0400X | 5481TG | TX | |
| Corneal and Contact Management Optometrist | 152WC0802X | 5481TG | TX | |
| Optometrist | 152W00000X | 5481TG | TX | Primary |
| Sports Vision Optometrist | 152WS0006X | 5481TG | TX |
Addresses
Primary practice location
4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640
Mailing address
4025 E Southcross Blvd Ste 26
San Antonio, TX 78222-3640
Phone (210) 932-4922
Other practice location 1
1200 SE Military Dr
Suite 112
San Antonio, TX 78214-2804
Phone (210) 932-4922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0192643-01 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1200 SE Military Dr
Suite 112
San Antonio, TX 78214-2851
Phone (210) 932-4922
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5481TG | TX | MD | Sports Vision Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Southern Eye Care PLLC | Optometrist | Current | Accepting new patients |
Locations
1200 SE Military Dr
Ste 112
San Antonio, TX 78214
Phone (210) 932-4922
4025 E Southcross Blvd
Ste 26
San Antonio, TX 78222
Phone (210) 932-4922
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.
-
- Optometrist
- San Antonio, TX
- NPI 1407220643
-
- Optometrist
- San Antonio, TX
- NPI 1598611741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1801969019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4025 E SOUTHCROSS BLVD STE 26",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223640",
"telephone_number": "210-932-4922",
"fax_number": "210-932-0047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 E SOUTHCROSS BLVD STE 26",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782223640",
"telephone_number": "210-932-4922",
"fax_number": "210-932-0047"
}
],
"practiceLocations": [
{
"address_1": "1200 SE Military Dr",
"address_2": "SUITE 112",
"address_purpose": "LOCATION",
"city": "San Antonio",
"state": "TX",
"postal_code": "782142804",
"country_code": "US",
"telephone_number": "210-932-4922",
"fax_number": "210-932-0047",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIAZ",
"first_name": "YOLANDA",
"middle_name": "G.",
"credential": "O. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "5481TG",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "TX",
"license": "5481TG",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "5481TG",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "5481TG",
"primary": true
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "5481TG",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0192643-01",
"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 Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.