Active NPI
Shannon Komray Leon, O.D.
- Optometrist
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8682T
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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 100
- Quality
- 95.25
- Improvement activities
- 40
- Cost
- 78.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8682T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of the Incarnate Word | Current | Accepting new patients | |
| University of the Incarnate Word | Optometrist | Current | Accepting new patients |
| Vision Associates of South Texas | Current | 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.
-
- Optometrist
- San Antonio, TX
- NPI 1003129784
-
- Family Nurse Practitioner
- San Antonio, TX
- NPI 1033591706
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.