Individual provider Active NPI

Arianna Kay Antunez, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1861956138
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TX9638 Issued in TX
Practice address
15900 La Cantera Pkwy Ste 9915
San Antonio, TX 78256
Phone
(210) 641-2405
Fax
(210) 641-2410
NPI assigned
Jan 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TX9638 TX Primary

Addresses

Primary practice location

15900 La Cantera Pkwy Ste 9915
San Antonio, TX 78256

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

Other practice location 1

20502 Ashmont
San Antonio, TX 78258-2781
Phone (210) 296-6246

Other practice location 2

20502 Ashmont
San Antonio, TX 78258-2781
Phone (210) 296-6246

Other practice location 3

255 E Basse Rd Ste 330
San Antonio, TX 78209-8343
Phone (210) 308-8565

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
I20190927000855 TX Practitioner - Optometry 6709116189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharron Acosta MD PAGroup PAC ID 7517924335, 10 clinicians

Practice addresses (Care Compare)

102 Palo Alto Rd
Suite 450
San Antonio, TX 78211-3782
Phone (210) 922-0555

1110 N Sarah Dewitt Dr
Gonzales, TX 78629-3311
Phone (830) 339-2843

15650 Classen Rd
San Antonio, TX 78247-2184
Phone (210) 342-2020

908 E Court St
Seguin, TX 78155-5813
Phone (830) 379-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9638TXMDAddiction (Substance Use Disorder) Counselor
TX9638TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jun 14, 2021 Accepting new patients

Locations

1929 State Highway 46 W
Ste 103
New Braunfels, TX 78132
Phone (830) 524-8870

255 E Basse Rd
Ste 330
San Antonio, TX 78209
Phone (210) 308-8565

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1861956138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15900 LA CANTERA PKWY STE 9915",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78256",
            "telephone_number": "210-641-2405",
            "fax_number": "210-641-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20502 Ashmont",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782582781",
            "country_code": "US",
            "telephone_number": "210-296-6246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20502 Ashmont",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782582781",
            "country_code": "US",
            "telephone_number": "210-296-6246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 E Basse Rd Ste 330",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782098343",
            "country_code": "US",
            "telephone_number": "210-308-8565",
            "fax_number": "210-525-8317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTUNEZ",
        "first_name": "ARIANNA",
        "middle_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "TX9638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.