Organization Active NPI

Nancy El-Hitamy Amir,

Doing business as Santa Rosa Low Vision Clinic

  • Low Vision Rehabilitation Optometrist
  • San Antonio, TX
National Provider Identifier
1962615195
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
05239TG Issued in TX
Legal business name
NANCY EL-HITAMY AMIR,
Doing business as
Santa Rosa Low Vision Clinic
Practice address
9577 Huebner Rd
BLDG 4
San Antonio, TX 78240-1687
Phone
(210) 228-0030
Fax
(210) 228-0277
NPI assigned
May 7, 2007
Last updated
Apr 14, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Dr. Nancy E Amir, O.D.NPI 1568461242
Title
Owner
Phone
(210) 228-0030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation Optometrist 152WL0500X 05239TG TX Primary

Addresses

Primary practice location

9577 Huebner Rd
BLDG 4
San Antonio, TX 78240-1687

Mailing address

9577 Huebner Rd
BLDG 4
San Antonio, TX 78240-1687
Phone (210) 228-0030

Other identifiers 4

IdentifierTypeStateIssuer
8497822OtherTXCIGNA HEALTH PLAN
082267802MedicaidTX
410045447OtherMEDICARE RAILROAD
80296QOtherTXBCBS OF TX

Other names 1

  • SANTA ROSA LOW VISION CLINIC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060104000997 TX Part B Supplier - Clinic/Group Practice 4183647167 Receives reassigned benefits from 2 practitioners
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Locations

315 N San Saba
Ste 900
San Antonio, TX 78207
Phone (210) 228-0030

9577 Huebner Rd
San Antonio, TX 78240
Phone (210) 228-0030

9577 Huebner Rd
Ste 4
San Antonio, TX 78240
Phone (210) 228-0030

463 Main St
Bennington, VT 05201
Phone (802) 442-0781

Practitioners & affiliated clinicians

Practitioners 5

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": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1962615195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401687",
            "telephone_number": "210-228-0030",
            "fax_number": "210-228-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9577 HUEBNER RD",
            "address_2": "BLDG 4",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401687",
            "telephone_number": "210-228-0030",
            "fax_number": "210-228-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY EL-HITAMY AMIR,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "AMIR",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-228-0030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "05239TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTH PLAN",
            "identifier": "8497822",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082267802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "410045447",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "80296Q",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SANTA ROSA LOW VISION CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2010; 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.