NPIMap

Organization Active NPI

MJW Eyecare Associates, P.a.

  • Optometrist
  • Uvalde, TX
National Provider Identifier
1881925196
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5954TG Issued in TX
Legal business name
MJW EYECARE ASSOCIATES, P.A.
Practice address
2340 E Main St Ste Q
Uvalde, TX 78801-4945
Phone
(830) 278-2010
Fax
(830) 278-1995
NPI assigned
Jan 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Authorized official

Name
Dr. Bobby Wayne Wood Jr., O. D.NPI 1962454827
Title
President
Phone
(830) 591-7595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5954TG TX Primary

Addresses

Primary practice location

2340 E Main St Ste Q
Uvalde, TX 78801-4945

Mailing address

7311 Stonewall HL
San Antonio, TX 78256-1667
Phone (830) 591-7595

Other names 1

  • Coyote Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120817000252 TX Part B Supplier - Clinic/Group Practice 4880840222 Receives reassigned benefits from 7 practitioners
Practice locations: San Antonio, TX; Uvalde, TX

National Provider Directory

National Provider Directory

Locations

8910 Bandera Rd
Ste 105
San Antonio, TX 78250
Phone (210) 682-4300

2340 E Main St
Ste Q
Uvalde, TX 78801
Phone (830) 278-2010

3040 E Main St
Ste Q
Uvalde, TX 78801
Phone (210) 222-2154

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271635200000",
    "number": "1881925196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 STONEWALL HL",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782561667",
            "telephone_number": "830-591-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 E MAIN ST STE Q",
            "city": "UVALDE",
            "state": "TX",
            "postal_code": "788014945",
            "telephone_number": "830-278-2010",
            "fax_number": "830-278-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJW EYECARE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-26",
        "last_updated": "2010-04-19",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "830-591-7595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O. D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5954TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coyote Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Uvalde, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.