Individual provider Active NPI

Alan Ruiz, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1831321595
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7421-T Issued in TX
Practice address
119 SW Loop 410
Suite 127
San Antonio, TX 78245-2107
Phone
(210) 680-5210
Fax
(210) 680-6210
NPI assigned
Aug 13, 2009
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7421-T TX Primary

Addresses

Primary practice location

119 SW Loop 410
Suite 127
San Antonio, TX 78245-2107

Mailing address

119 SW Loop 410
Suite 127
San Antonio, TX 78245-2107
Phone (210) 680-5210

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
I20100701000685 TX Practitioner - Optometry 7810028073 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7421-TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howerton Eye Clinic PLLC CurrentSince Mar 17, 2015 Accepting new patients
Captex Vision, PLLC Optometrist CurrentSince Jan 9, 2020 Accepting new patients
Howerton Eye Clinic, PLLC Optometrist CurrentSince Mar 17, 2015 Accepting new patients

Locations

2410 E Riverside Dr
Ste H10
Austin, TX 78741
Phone (512) 344-9775

2610 S Interstate 35
Austin, TX 78704
Phone (512) 443-9715

5401 FM 1626
Ste 365
Kyle, TX 78640
Phone (512) 443-9715

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1831321595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SW LOOP 410",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452107",
            "telephone_number": "210-680-5210",
            "fax_number": "210-680-6210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SW LOOP 410",
            "address_2": "SUITE 127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782452107",
            "telephone_number": "210-680-5210",
            "fax_number": "210-680-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7421-T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.