Active NPI
Alamo Pediatric Eye Center, PLLC
- Ophthalmology Physician
- San Antonio, TX
National Provider Identifier
1902596497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ALAMO PEDIATRIC EYE CENTER, PLLC
- Practice address
- 4374 Lockhill Selma Rd Ste 101
San Antonio, TX 78249-3539 - Phone
- (210) 624-8282
- NPI assigned
- May 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gwenn Stinnett
- Title
- Billing Manager
- Phone
- (828) 551-1157
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4374 Lockhill Selma Rd Ste 101
San Antonio, TX 78249-3539
Mailing address
4374 Lockhill Selma Rd Ste 101
San Antonio, TX 78249-3539
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2314428 | Alamo Pediatric Eye Center PLLC | Certificate of waiver | Nov 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
4374 Lockhill Selma Rd
Ste 101
San Antonio, TX 78249
Phone (210) 624-8282
Interoperability endpoints
- mchharba@alamo.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- San Antonio, TX
- NPI 1053575647
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685836800000",
"number": "1902596497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4374 LOCKHILL SELMA RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4374 LOCKHILL SELMA RD STE 101",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782493539",
"telephone_number": "210-624-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAMO PEDIATRIC EYE CENTER, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-09",
"last_updated": "2023-06-04",
"certification_date": "2023-06-04",
"status": "A",
"authorized_official_last_name": "STINNETT",
"authorized_official_first_name": "GWENN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "828-551-1157"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
- Alamo Neurosurgical Institute PA
- Alamo Nuclear Pharmacy Services, Inc
- Alamo Nutrition Consultants, LLC
- Alamo Oncology Associates, PA
- Alamo Osteopathic Physicians and Surgeons
- Alamo Premier Mental Health PLLC
- Alamo Primary Care of Potranco PLLC
- Alamo Prosthethics,Orthotics and Medical Equipment Inc.
- Alamo Psychiatric Care P. a.
- Alamo PT LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2023; 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.