Organization Active NPI

Deviney Vision Care & Associates PA

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1992102636
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DEVINEY VISION CARE & ASSOCIATES PA
Practice address
4501 McCullough Ave Ste 101
San Antonio, TX 78212-1659
Phone
(210) 340-5822
Fax
(210) 340-3841
NPI assigned
Nov 24, 2014
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Jason Gilbert Deviney, ODNPI 1275542409
Title
President
Phone
(210) 340-5822

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4501 McCullough Ave Ste 101
San Antonio, TX 78212-1659

Mailing address

4501 McCullough Ave
Suite 101
San Antonio, TX 78212-1660
Phone (210) 340-5822

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150108000820 TX Part B Supplier - Clinic/Group Practice 4981927423 Receives reassigned benefits from 1 practitioner
Practice locations: San Antonio, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1992102636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE",
            "address_2": "SUITE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121660",
            "telephone_number": "210-340-5822",
            "fax_number": "210-340-3841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE STE 101",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121659",
            "telephone_number": "210-340-5822",
            "fax_number": "210-340-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVINEY VISION CARE & ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "DEVINEY",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-340-5822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Jan 26, 2022; 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.