Individual provider Active NPI

Yolanda G. Diaz, O. D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1801969019
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5481TG Issued in TX
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

Updated by the provider on Mar 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0192643-01MedicaidTX

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
I20041028000515 TX Practitioner - Optometry 4486616885 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
5481TGTXMDSports Vision Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Eye Care PLLC Optometrist CurrentSince Apr 30, 2016 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.

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

Verify at the official NPI Registry.