Individual provider Active NPI

Adam Trevino

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1952087645
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10899T Issued in TX
Practice address
2210 NW Military Hwy
San Antonio, TX 78213-1815
Phone
(210) 344-1400
NPI assigned
Jun 26, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 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 10899T TX Primary

Addresses

Primary practice location

2210 NW Military Hwy
San Antonio, TX 78213-1815

Mailing address

2210 NW Military Hwy
San Antonio, TX 78213-1815
Phone (210) 899-3444

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
I20230829001046 TX Practitioner - Optometry 9638532336 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Raul a. Trevino, OD, PAGroup PAC ID 9739278862, 3 clinicians

Practice addresses (Care Compare)

2210 NW Military Hwy
San Antonio, TX 78213-1815
Phone (210) 344-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raul a. Trevino OD PA Optometrist CurrentSince Jul 18, 2023 Accepting new patients
Vision Central LLC Optometrist CurrentSince Sep 1, 2024 Accepting new patients
Wellmed Medical Group, PA PastSince Jul 2, 2023 Accepting new patients

Locations

2210 NW Military Hwy
San Antonio, TX 78213
Phone (210) 308-5558

7959 Fredericksburg Rd
Ste 137
San Antonio, TX 78229
Phone (210) 735-5440

Organizations & group practices 3

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": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1952087645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-899-3444",
            "fax_number": "210-342-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 NW MILITARY HWY",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131815",
            "telephone_number": "210-344-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREVINO",
        "first_name": "ADAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-26",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10899T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.