Individual provider Active NPI

Alexandra Wiechmann, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1871144782
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9856T Issued in TX
Practice address
9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone
(210) 635-9358
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 9856T TX Primary

Addresses

Primary practice location

9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385

Mailing address

9725 Datapoint Dr Ste 106
San Antonio, TX 78229-2385
Phone (210) 635-9358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.42 of 100Reported as group
Quality
94.48
Improvement activities
40
Cost
68.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9856TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Refractive Surgery & Diagnostic Center PLLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Anestexia LLC Multi-Specialty CurrentSince Feb 6, 2022 Accepting new patients

Locations

9725 Datapoint Dr
Ste 106
San Antonio, TX 78229
Phone (210) 585-2020

Organizations & group practices 2

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1871144782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292385",
            "telephone_number": "210-635-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR STE 106",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292385",
            "telephone_number": "210-635-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIECHMANN",
        "first_name": "ALEXANDRA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9856T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.