Active NPI
Michael Castro, O.D.
- Optometrist
- Schertz, TX
National Provider Identifier
1841675360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8683TG
- Practice address
- 17460 Interstate 35 N Ste 412
Schertz, TX 78154-1222 - Phone
- (210) 590-2482
- Fax
- (210) 579-9490
- NPI assigned
- Jul 26, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8683T | TX | |
| Optometrist | 152W00000X | 8683TG | TX | Primary |
Addresses
Primary practice location
17460 Interstate 35 N Ste 412
Schertz, TX 78154-1222
Mailing address
17460 Interstate 35 N Ste 412
Schertz, TX 78154-1222
Phone (210) 590-2482
Other practice location 1
17460 Interstate 35 N Ste 412
Schertz, TX 78154-1222
Phone (210) 590-2482
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770870883 | Other | TX | GROUP NPI |
| 1841675360 | Other | TX | INDIVIDUAL NPI |
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
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
17460 Ih 35
Suite 412
Schertz, TX 78154-1222
Phone (210) 590-2482
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8683T | TX | MD | Optometrist |
| 8683TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nielsen Vision Development Center | Single Specialty | Past | Accepting new patients |
| Nielsen Vision Development Center, LLC | Single Specialty | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Schertz, TX
- NPI 1770870883
-
- Vision Therapy Optometrist
- Selma, TX
- NPI 1770952863
Single Specialty
-
- Vision Therapy Optometrist
- Schertz, TX
- NPI 1619395894
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1841675360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17460 INTERSTATE 35 N STE 412",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541222",
"telephone_number": "210-590-2482",
"fax_number": "210-579-9490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17460 INTERSTATE 35 N STE 412",
"city": "SCHERTZ",
"state": "TX",
"postal_code": "781541222",
"telephone_number": "210-590-2482",
"fax_number": "210-579-9490"
}
],
"practiceLocations": [
{
"address_1": "17460 Interstate 35 N Ste 412",
"address_purpose": "LOCATION",
"city": "Schertz",
"state": "TX",
"postal_code": "781541222",
"country_code": "US",
"telephone_number": "210-590-2482",
"fax_number": "210-579-9490",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTRO",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-26",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8683T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "8683TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1770870883",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1841675360",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schertz, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.