Surgical Eye Center of San Antonio

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

SURGICAL EYE CENTER OF SAN ANTONIO

Practice address

11601 Toepperwein Rd
Suite 2020
Live Oak, TX 78233-3147

Phone

(210) 946-2020

NPI assigned

Jan 7, 2014

Last updated

Jan 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Aaron Pittard, M.D.

Title

Medical Director

Phone

(210) 946-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Listed as

Surgical Eye Center of San AntonioCCN 45C0001566

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jon Mark Berry, M.D.

  • Ophthalmology Physician
  • Live Oak, TX
  • NPI 1174637482
  NPD
• William T Walton, M.D.

  • Ophthalmology Physician
  • Live Oak, TX
  • NPI 1134235500
  NPD (past)

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389052800000",
    "number": "1871915041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 TOEPPERWEIN RD",
            "address_2": "SUITE 2020",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333147",
            "telephone_number": "210-946-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 TOEPPERWEIN RD",
            "address_2": "SUITE 2020",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333147",
            "telephone_number": "210-946-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL EYE CENTER OF SAN ANTONIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-07",
        "status": "A",
        "authorized_official_last_name": "PITTARD",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "210-946-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Stewart
• Peggy N. Stoll, M.D.
• Caroline Beth Stray
• Strickland Anesthesia Services, PLLC
• Alexis Sturgis
• Khusboo Surtani, PA-C
• Moiz Abbas Tajkhanji, M.D.
• David Wayne Talafuse, M.D.
• Muhammad Talib, MD
• David R Talley, MD

• Ambulatory Surgical Clinic/Center in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Ambulatory Surgical Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.