Organization Active NPI

Eye Theory - Stone Oak

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1821756735
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Dr. Sanjay Nancherla, ODNPI 1306369574
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)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL eyetheorystoneoak@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.