Dr Rosa C Suarez-Reyna and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

6958TG Issued in TX

Legal business name

DR ROSA C SUAREZ-REYNA AND ASSOCIATES

Doing business as

Northwest Family Eye Care

Practice address

6450 NW Loop 410
Suite 115
San Antonio, TX 78238-4209

Phone

(210) 521-2085

Fax

(210) 519-0962

NPI assigned

Oct 15, 2012

Last updated

Oct 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rosa C. Suarez-Reyna, ODNPI 1194046912

Title

Owner/OD

Phone

(210) 521-2085

Specialties & licenses 1

Addresses

Other names 1

• NORTHWEST FAMILY EYE CARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rosa Corina Suarez-Reyna, OD

  • Optometrist
  • San Antonio, TX
  • NPI 1194046912
  Medicare reassignment NPD Authorized official
• Mark Keith Davis, O.D.

  • Optometrist
  • San Antonio, TX
  • NPI 1699760603
  NPD (past)

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1932452968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384209",
            "telephone_number": "210-521-2085",
            "fax_number": "210-519-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6450 NW LOOP 410",
            "address_2": "SUITE 115",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782384209",
            "telephone_number": "210-521-2085",
            "fax_number": "210-519-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROSA C SUAREZ-REYNA AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-15",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "SUAREZ-REYNA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/OD",
        "authorized_official_telephone_number": "210-521-2085",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6958TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST FAMILY EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Oct 15, 2012; 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.