Individual provider Active NPI

Shannon Komray Leon, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1972986453
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8682T Issued in TX
Practice address
9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone
(210) 283-6800
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8682T TX Primary

Addresses

Primary practice location

9725 Datapoint Dr
San Antonio, TX 78229-2384

Mailing address

9725 Datapoint Dr
San Antonio, TX 78229-2384
Phone (210) 283-6800

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
I20160525002734 TX Practitioner - Optometry 5890085286 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Associates of South TexasGroup PAC ID 5496802324, 4 clinicians

Practice addresses (Care Compare)

2424 Babcock Rd
Suite 101
San Antonio, TX 78229-6031
Phone (210) 692-1388

Merit-based Incentive Payment System (MIPS)

Final score
91.71 of 100Reported as group
Quality
95.25
Improvement activities
40
Cost
78.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8682TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of the Incarnate Word CurrentSince Jan 1, 2026 Accepting new patients
University of the Incarnate Word Optometrist CurrentSince Jan 1, 2026 Accepting new patients
Vision Associates of South Texas CurrentSince Apr 1, 2016 Accepting new patients

Locations

2424 Babcock Rd
Ste 101
San Antonio, TX 78229
Phone (210) 616-0174

9725 Datapoint Dr
San Antonio, TX 78229
Phone (210) 283-6800

2424 Babcock Rd
#101S
San Antonio, TX 78229
Phone (210) 692-1388

9725 Datapoint Dr
#69
San Antonio, TX 78229
Phone (210) 283-6800

7500 Barlite Blvd
Ste 213
San Antonio, TX 78224
Phone (210) 927-1832

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": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1972986453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-283-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 DATAPOINT DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782292384",
            "telephone_number": "210-283-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEON",
        "first_name": "SHANNON",
        "middle_name": "KOMRAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8682T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.