Saoul Adan Mancha, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

9772T Issued in TX

Practice address

5210 Thousand Oaks Dr Ste 1244
San Antonio, TX 78233-6974

Phone

(210) 223-9292

NPI assigned

Jul 1, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Texas Educational Academic Medical FoundationGroup PAC ID 5991287872, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Texas Educational Academic Medical Foundation

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1164382065
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1891357877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 THOUSAND OAKS DR STE 1244",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 THOUSAND OAKS DR STE 1244",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782336974",
            "telephone_number": "210-223-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHA",
        "first_name": "SAOUL",
        "middle_name": "ADAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9772T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Mancera, MD
• Angela Mancha
• Erica Elaine Mancha, LVN
• Jesus Alberto Mancha
• Maria Magdalena Mancha
• Stephen F Manchester, MD
• Jessica Melissa Mancillas-Flores, LPC-ASSCOCIATE
• Anita Mancini-Michell, PSY.D
• Patricia Mancuso, MD
• Manda Investments,LLC

• Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.