Active NPI
Eye Theory - Stone Oak
- Optometrist
- San Antonio, TX
National Provider Identifier
1821756735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- EYE THEORY - STONE OAK
- Practice address
- 115 N Loop 1604 E Ste 1103
San Antonio, TX 78232-1399 - Phone
- (210) 635-0050
- NPI assigned
- Dec 8, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sanjay Nancherla, OD
- Title
- Optometrist/Owner
- Phone
- (210) 635-0050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
115 N Loop 1604 E Ste 1103
San Antonio, TX 78232-1399
Mailing address
115 N Loop 1604 E Ste 1103
San Antonio, TX 78232-1399
Phone (210) 635-0050
Other names 1
- Eye Theory
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | eyetheorystoneoak@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221024002277 | TX | Part B Supplier - Clinic/Group Practice | 0749656254 |
Receives reassigned benefits from 1 practitioner Practice locations: San Antonio, TX |
National Provider Directory
National Provider DirectoryLocations
115 N Loop 1604 E
Ste 1103
San Antonio, TX 78232
Phone (210) 635-0050
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1638921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649808000000",
"number": "1821756735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N LOOP 1604 E STE 1103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321399",
"telephone_number": "210-635-0050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N LOOP 1604 E STE 1103",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321399",
"telephone_number": "210-635-0050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE THEORY - STONE OAK",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-08",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A",
"authorized_official_last_name": "NANCHERLA",
"authorized_official_first_name": "SANJAY",
"authorized_official_title_or_position": "OPTOMETRIST/OWNER",
"authorized_official_telephone_number": "210-635-0050",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "eyetheorystoneoak@gmail.com",
"affiliation": "N",
"address_1": "115 N Loop 1604 E Ste 1103",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782321399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Eye Theory",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Eye Theory",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.