Individual provider Active NPI

Neda Vatanpour

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1851924989
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9911T Issued in TX
Practice address
22026 US Highway 281 N
San Antonio, TX 78258-7656
Phone
(830) 224-7911
NPI assigned
Feb 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9911T TX Primary

Addresses

Primary practice location

22026 US Highway 281 N
San Antonio, TX 78258-7656

Mailing address

22026 US Highway 281 N
San Antonio, TX 78258-7656
Phone (830) 224-7911

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
I20210430000569 TX Practitioner - Optometry 4587073663 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Ophthalmology Association PLLCGroup PAC ID 2668379876, 22 clinicians

Practice addresses (Care Compare)

505 N Gun Barrel LN
Ke Eye Centers of Texas
Gun Barrel City, TX 75156-3732
Phone (903) 887-7623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9911TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist CurrentSince Apr 24, 2023 Accepting new patients
North Texas Center for Sight, PA CurrentSince Oct 16, 2023 Accepting new patients
Clear View Eye Associates, PLLC Optometrist CurrentSince Nov 3, 2024 Accepting new patients
North Texas Center for Sight, P.a. CurrentSince Oct 16, 2023 Accepting new patients
Arlington Ophthalmology Association PLLC Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Staten Island Physician Practice PC PastSince Jan 1, 2026 Accepting new patients

Locations

350 E Interstate 20
Arlington, TX 76018

5494 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 692-6220

2220 Emery St
Ste 100
Denton, TX 76201
Phone (940) 243-2020

5999 Custer Rd
Ste 120
Frisco, TX 75035
Phone (210) 793-2930

505 N Gun Barrel Ln
Gun Barrel City, TX 75156
Phone (903) 887-7623

3645 Dallas Pkwy
Ste 545
Plano, TX 75093
Phone (214) 440-5200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1851924989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22026 US HIGHWAY 281 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587656",
            "telephone_number": "830-224-7911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22026 US HIGHWAY 281 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587656",
            "telephone_number": "830-224-7911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATANPOUR",
        "first_name": "NEDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-18",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9911T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.