NPIMap

Organization Active NPI

Alamo City Eye Physicians PA

  • Ophthalmology Physician
  • Live Oak, TX
National Provider Identifier
1952407322
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ALAMO CITY EYE PHYSICIANS PA
Practice address
11601 Toepperwein Rd.
Live Oak, TX 78233
Phone
(210) 946-2020
Fax
(210) 590-3936
NPI assigned
Sep 15, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Authorized official

Name
Mr. Johnny Lee Rayburg
Title
Clinic Administrator
Phone
(210) 946-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

11601 Toepperwein Rd.
Live Oak, TX 78233

Mailing address

11601 Toepperwein Rd.
Live Oak, TX 78233
Phone (210) 946-2020

Other practice location 1

19026 Stone Oak Pkwy Ste 216
San Antonio, TX 78258-3229
Phone (210) 946-2020

Other practice location 2

3327 Research Plz Ste 306
San Antonio, TX 78235-5158
Phone (210) 946-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041229000320 TX Part B Supplier - Clinic/Group Practice 0446218002 Receives reassigned benefits from 4 practitioners
Practice locations: Live Oak, TX; San Antonio, TX

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Seguin Eye Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11601 Toepperwein Rd
Live Oak, TX 78233
Phone (210) 946-2020

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1952407322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 TOEPPERWEIN RD.",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-946-2020",
            "fax_number": "210-590-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 TOEPPERWEIN RD.",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "78233",
            "telephone_number": "210-946-2020",
            "fax_number": "210-590-3936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19026 Stone Oak Pkwy Ste 216",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782583229",
            "country_code": "US",
            "telephone_number": "210-946-2020",
            "fax_number": "210-590-3936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3327 Research Plz Ste 306",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782355158",
            "country_code": "US",
            "telephone_number": "210-946-2020",
            "fax_number": "210-590-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALAMO CITY EYE PHYSICIANS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "RAYBURG",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "210-946-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.