Individual provider Active NPI

Robert C Pretli, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1811046634
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901004352 Issued in MI
Practice address
175 E Houston St
7TH Floor
San Antonio, TX 78205-2255
Phone
(210) 524-6516
NPI assigned
Jan 10, 2007
Last updated
Jan 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901004352 MI Primary

Addresses

Primary practice location

175 E Houston St
7TH Floor
San Antonio, TX 78205-2255

Mailing address

175 E Houston St
7TH Floor
San Antonio, TX 78205-2255
Phone (210) 524-6516

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
I20181220001090 TX Practitioner - Optometry 0143565085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RCP Eyecare, PCGroup PAC ID 9234474172, 13 clinicians

Practice addresses (Care Compare)

8222 Agora Pkwy
Suite 116
Selma, TX 78154-1319
Phone (210) 659-1479

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901004352MIMDOptometrist
8697TXMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
RCP Eyecare, PC Optometrist CurrentSince Sep 4, 2018 Accepting new patients

Locations

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

270 E Basse Rd
Ste D101B
San Antonio, TX 78209
Phone (210) 826-1720

6035 NW Loop 410
San Antonio, TX 78238
Phone (210) 520-0335

8222 Agora Pkwy
Ste 116
Selma, TX 78154
Phone (210) 657-6270

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420588800000",
    "number": "1811046634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "address_2": "7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "210-524-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E HOUSTON ST",
            "address_2": "7TH FLOOR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782052255",
            "telephone_number": "210-524-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRETLI",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2015-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901004352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.