Scott K Sitterle, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4343TG Issued in TX

Practice address

2950 Thousand Oaks Dr
Suite 23
San Antonio, TX 78247-3361

Phone

(210) 490-9091

Fax

(210) 490-8355

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sitterle Vision Source PLLCGroup PAC ID 6800179458, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Sitterle Vision Source PLLC

  • Optometrist
  • San Antonio, TX
  • NPI 1124578208
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399248000000",
    "number": "1811930258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 THOUSAND OAKS DR",
            "address_2": "SUITE 23",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473361",
            "telephone_number": "210-490-9091",
            "fax_number": "210-490-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 THOUSAND OAKS DR",
            "address_2": "SUITE 23",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782473361",
            "telephone_number": "210-490-9091",
            "fax_number": "210-490-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITTERLE",
        "first_name": "SCOTT",
        "middle_name": "K",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4343TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "093316001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sisterly Horizons, PLLC
• Roman Sitek, MD
• Penny Lorraine Sitka, PHARMD
• Kerry Lyn Sitler, P.T.
• Sitterle Vision Source PLLC
• Blair Frances Sivess
• Six Lac Inc
• Sixrsig LLC
• Sixrsig LLC
• Abbas Mehdi Sizar, MD

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; 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.

Verify at the official NPI Registry.