Individual provider Active NPI

Daniel P Nolan, DO

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1902163025
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
R3566 Issued in TX
Practice address
9157 Huebner Rd
San Antonio, TX 78240-1502
Phone
(210) 697-2020
Fax
(210) 558-7679
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X R3566 TX Primary

Addresses

Primary practice location

9157 Huebner Rd
San Antonio, TX 78240-1502

Mailing address

9157 Huebner Rd
San Antonio, TX 78240-1502
Phone (231) 557-7092

Other practice location 1

3240 S Oak Park Ave
Medical Education
Berwyn, IL 60402
Phone (708) 783-3403

Other identifiers 1

IdentifierTypeStateIssuer
373372701MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mcoaeyecare.com Health Information Exchange (HIE) Medical Center Ophthalmology Associates

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170720002291 TX Practitioner - Ophthalmology 8224331020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Ophthalmology AssociatesGroup PAC ID 1153390398, 12 clinicians

Practice addresses (Care Compare)

109 Gallery Cir
Suite 139
San Antonio, TX 78258-3328
Phone (210) 697-2020

11900 Crownpoint
Suite 140
San Antonio, TX 78233-5356
Phone (210) 697-2020

608 N Bedell Ave
Suite a
Del Rio, TX 78840-4109
Phone (210) 697-2020

9157 Huebner Rd
San Antonio, TX 78240-1502
Phone (210) 697-2020

9730 Westover Hills Blvd
Suite 110
San Antonio, TX 78251-4842
Phone (210) 697-2020

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
98.67
Improvement activities
40
Cost
78.34

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery346

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Center Ophthalmology Associates Single Specialty CurrentSince Jul 15, 2017 Accepting new patients
Medical Center Ophthalmology Associates Single Specialty CurrentSince Jul 15, 2017 Accepting new patients

Locations

608 N Bedell Ave
#A
Del Rio, TX 78840
Phone (830) 775-7271

9730 Westover Hills Blvd
Ste 110
San Antonio, TX 78251

109 Gallery Cir
Ste 139
San Antonio, TX 78258

11900 Crownpoint
Ste 140
San Antonio, TX 78233

9157 Huebner Rd
San Antonio, TX 78240
Phone (210) 697-2001

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": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1902163025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "231-557-7092",
            "fax_number": "210-558-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9157 HUEBNER RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401502",
            "telephone_number": "210-697-2020",
            "fax_number": "210-558-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3240 S Oak Park Ave",
            "address_2": "Medical Education",
            "address_purpose": "LOCATION",
            "city": "Berwyn",
            "state": "IL",
            "postal_code": "60402",
            "country_code": "US",
            "telephone_number": "708-783-3403",
            "fax_number": "708-783-3341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "DANIEL",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "R3566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "373372701",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mcoaeyecare.com",
            "affiliation": "Y",
            "endpointDescription": "office",
            "affiliationName": "Medical Center Ophthalmology Associates",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9157 Huebner Rd",
            "city": "San Antonio",
            "state": "TX",
            "country_code": "US",
            "postal_code": "782401502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.