Active NPI
Richard Leland Delay Jr., O.D.
- Optometrist
- San Antonio, TX
National Provider Identifier
1962494195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4631 TG
- Practice address
- 2929 Mossrock
Suite 104
San Antonio, TX 78230-5110 - Phone
- (210) 377-0350
- Fax
- (210) 377-2982
- NPI assigned
- Aug 15, 2005
- Last updated
- Oct 12, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4631 TG | TX | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 4631 TG | TX | |
| Pediatric Optometrist | 152WP0200X | 4631 TG | TX | |
| Sports Vision Optometrist | 152WS0006X | 4631 TG | TX | |
| Occupational Vision Optometrist | 152WX0102X | 4631 TG | TX |
Addresses
Primary practice location
2929 Mossrock
Suite 104
San Antonio, TX 78230-5110
Mailing address
2929 Mossrock
Suite 104
San Antonio, TX 78230-5110
Phone (210) 377-0350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110596701 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2929 Mossrock
Suite 104
San Antonio, TX 78230-5141
Phone (210) 377-0350
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.95 of 100
- Quality
- 99.9
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4631 TG | TX | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Richard L Delay OD PC | Optometrist | Current | Accepting new patients |
Locations
2929 Mossrock
Ste 104
San Antonio, TX 78230
Phone (210) 377-0350
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- San Antonio, TX
- NPI 1750515847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318377600000",
"number": "1962494195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 MOSSROCK",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305110",
"telephone_number": "210-377-0350",
"fax_number": "210-377-2982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 MOSSROCK",
"address_2": "SUITE 104",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782305110",
"telephone_number": "210-377-0350",
"fax_number": "210-377-2982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAY",
"first_name": "RICHARD",
"middle_name": "LELAND",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2011-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "4631 TG",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "TX",
"license": "4631 TG",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "TX",
"license": "4631 TG",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "TX",
"license": "4631 TG",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "TX",
"license": "4631 TG",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110596701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.