Individual provider Active NPI

Alpana Scantlin

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1861914426
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9195T Issued in TX
Practice address
7400 San Pedro Ave Ste 18
San Antonio, TX 78216
Phone
(210) 349-0696
NPI assigned
Jul 14, 2017
Last updated
Mar 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9195T TX Primary

Addresses

Primary practice location

7400 San Pedro Ave Ste 18
San Antonio, TX 78216

Mailing address

6812 Betty Levy
San Antonio, TX 78227-1164

Other practice location 1

9725 Datapoint Dr. #69
San Antonio, TX 78229
Phone (210) 283-6832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231030002919 MD Practitioner - Optometry 4284900978 Reassigns benefits to 1 organization
I20231213002620 DC Practitioner - Optometry 4284900978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of the Incarnate Word School of Osteo Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NV OptometryGroup PAC ID 1850626276, 4 clinicians

Practice addresses (Care Compare)

15511 Annapolis Rd
Suite 500
Bowie, MD 20715-3037
Phone (410) 268-6246

2626 Brandermill Blvd
Gambrills, MD 21054-1651
Phone (410) 451-9499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9195TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
NV Optometry Optometrist CurrentSince Oct 20, 2023 Accepting new patients
Visionworks, Inc Past Accepting new patients
Visionworks, Inc. Past Accepting new patients

Locations

15511 Annapolis Rd
Ste 500
Bowie, MD 20715
Phone (301) 464-4442

2626 Brandermill Blvd
Gambrills, MD 21054
Phone (410) 451-9499

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, 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": "1499990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1861914426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6812 BETTY LEVY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782271164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 SAN PEDRO AVE STE 18",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78216",
            "telephone_number": "210-349-0696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9725 Datapoint Dr. #69",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-283-6832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCANTLIN",
        "first_name": "ALPANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-14",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9195T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.