Active NPI
Jorge San Martin, OD
- Optometrist
- San Antonio, TX
National Provider Identifier
1811995780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2386TG
- Practice address
- 315 N San Saba
Suite 100
San Antonio, TX 78207-3154 - Phone
- (210) 271-7575
- NPI assigned
- Jul 13, 2005
- Last updated
- Jul 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2386TG | TX | Primary |
Addresses
Primary practice location
315 N San Saba
Suite 100
San Antonio, TX 78207-3154
Mailing address
315 N San Saba
Suite 100
San Antonio, TX 78207-3154
Phone (210) 271-7575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019423502 | Medicaid | TX | |
| 00E60T | Other | TX | BLUE CROSS BLUE SHIELD |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2386TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Transvision, PC | Optometrist | Current | Accepting new patients |
| Antonio E Hachem Odpa | Optometrist | Past | Accepting new patients |
| Marzec Eye Care Inc | Optometrist | Past | Accepting new patients |
Locations
8306 N Navarro St
#B
Victoria, TX 77904
Phone (361) 573-4884
Interoperability endpoints
- jorge.sanmartin@1182.chartlogic.direct-ci.com
Organizations & group practices 3
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.
-
- Optometrist
- Victoria, TX
- NPI 1588847057
-
- Optometrist
- San Antonio, TX
- NPI 1356356224
-
- Optometrist
- San Antonio, TX
- NPI 1699078733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217289600000",
"number": "1811995780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-271-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N SAN SABA",
"address_2": "SUITE 100",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782073154",
"telephone_number": "210-271-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAN MARTIN",
"first_name": "JORGE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2008-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2386TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019423502",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00E60T",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- San Marcos Neurology Associates (Neurology Associates)
- San Marcos PT Specialists, PLLC
- Laura Elena San Martin-Pablos, DDS, MS
- Antonio A San Martin, M.D.
- Daniel Eduardo San Martin, D.D.S.
- Michele San Martin, LPC
- Alberto San Miguel, DPT
- Chrisitne San Miguel, B.A. RBT
- Christopher San Miguel
- Daniel San Miguel, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.