Anthony Mac, OD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

10391TG Issued in TX

Practice address

1742 N Loop 1604 E Ste 117
San Antonio, TX 78232-1594

Phone

(210) 428-6696

NPI assigned

Aug 9, 2021

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Androzo Enterprises, PLLCGroup PAC ID 6204050586, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Androzo Enterprises, PLLC

  • Corneal and Contact Management Optometrist
  • San Antonio, TX
  • NPI 1275958712
  Medicare reassignment Care Compare group NPD
• University of the Incarnate Word

  dba Eye & Vision Care Clinic

  • Optometrist
  • San Antonio, TX
  • NPI 1003129784
  Medicare reassignment NPD
• University of the Incarnate Word

  dba Nursing Cardinal Clinic

  • Family Nurse Practitioner
  • San Antonio, TX
  • NPI 1033591706
  NPD

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1982379301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 N LOOP 1604 E STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321594",
            "telephone_number": "210-428-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 N LOOP 1604 E STE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782321594",
            "telephone_number": "210-428-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAC",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "10391TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asoh Mbeh Mabo, FNP-C
• Jeffrey Caldwell Mabry, D.D.S.
• Nicole R Mabry, PHD
• Teresa Ann Mabry, LMSW
• Redentor Mabutas
• Christopher Rolando Mac
• Nikolas De Guzman Macalma, HIS
• Jenna Macauley, DO, MS, FAAP
• Raul Armando Macchia, DNP
• Donald L. Macdonald, LCSW

• Corneal and Contact Management Optometrist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.

Verify at the official NPI Registry.