Individual provider Active NPI

Rehna Kiran Ismaily, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1811327158
Registry record updated May 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8306T Issued in TX
Practice address
4096 N Foster Rd
San Antonio, TX 78244
Phone
(210) 973-6885
Fax
(210) 610-5098
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8306T TX Primary

Addresses

Primary practice location

4096 N Foster Rd
San Antonio, TX 78244

Mailing address

4096 N Foster Rd
San Antonio, TX 78244-1874
Phone (210) 973-6885

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
I20150121000244 TX Practitioner - Optometry 6901020676 Reassigns benefits to 1 organization
Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Arizona College of Osteopathic Medicine Mid Western University, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4096 N Foster Rd
San Antonio, TX 78244-1874
Phone (210) 973-6885

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8306TXMDChiropractor
8306TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sitterle Vision Source PLLC Optometrist PastSince Jan 1, 2017 Accepting new patients

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526342400000",
    "number": "1811327158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4096 N FOSTER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782441874",
            "telephone_number": "210-973-6885",
            "fax_number": "210-610-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4096 N FOSTER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78244",
            "telephone_number": "210-973-6885",
            "fax_number": "210-610-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAILY",
        "first_name": "REHNA",
        "middle_name": "KIRAN",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2018-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8306T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.