Individual provider Active NPI

Erik Patrick Cummings, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1851744825
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8986TG Issued in TX
Practice address
6419 W Loop 1604 N Ste 104
San Antonio, TX 78254-5764
Phone
(726) 888-6318
NPI assigned
Jul 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8986TG TX Primary

Addresses

Primary practice location

6419 W Loop 1604 N Ste 104
San Antonio, TX 78254-5764

Mailing address

6419 W Loop 1604 N Ste 104
San Antonio, TX 78254-5764
Phone (726) 888-6318

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
I20161222001061 TX Practitioner - Optometry 3476834854 Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8986TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1851744825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545764",
            "telephone_number": "726-888-6318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 W LOOP 1604 N STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782545764",
            "telephone_number": "726-888-6318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "ERIK",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-14",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8986TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.