Individual provider Active NPI

Nydia Carol Rosillo, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1891951281
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7299TG Issued in TX
Practice address
22832 US Highway 281 N
San Antonio, TX 78258-7430
Phone
(210) 481-9634
NPI assigned
Aug 5, 2008
Last updated
May 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7299TG TX Primary

Addresses

Primary practice location

22832 US Highway 281 N
San Antonio, TX 78258-7430

Mailing address

22041 Pelican Edge
San Antonio, TX 78258-7849
Phone (210) 629-9928

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
I20100127000883 TX Practitioner - Optometry 2769524834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7299TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
S.a. Family Eye Care Center Corneal and Contact Management CurrentSince Jan 28, 2010 Accepting new patients

Locations

14855 Blanco Rd
Ste 210
San Antonio, TX 78216
Phone (210) 479-0900

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1891951281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22041 PELICAN EDGE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587849",
            "telephone_number": "210-629-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22832 US HIGHWAY 281 N",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782587430",
            "telephone_number": "210-481-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSILLO",
        "first_name": "NYDIA",
        "middle_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7299TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.