Unknown Individual – Optometrist, NPI 1154413169
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Main Office & Surgery Center, 800, McCullough Avenue, Downtown, San Antonio, Bexar County, Texas, 78205, United States
SAN ANTONIO, TX 782151625
Phone: (210) 226-6169
Fax: (210) 226-6386
Type: Location
14807, San Pedro Avenue, San Antonio, Bexar County, Texas, 78232, United States
SAN ANTONIO, TX 782323708
Phone: (210) 495-2020
Fax: (210) 495-4500
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $464.
Total Amount is formed as General ($464) + Research ($0) + Ownership ($0) = $464.
Last reported payment date: 2023-09-18 • Largest payer in this snapshot: BIOTISSUE HOLDINGS, INC. ($399).
Total Amount
$464
General + Research + Ownership
Payments
8
Total payment records
General Amount
$464
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BIOTISSUE HOLDINGS, INC. | $399 |
| Alcon Vision LLC | $41 |
| Sun Pharmaceutical Industries Inc. | $24 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 21 | 21 | $0 |
Insurance plans in this area (ZIP 78215)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | TX | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P T O M E T R Y | CA | |
| Family Practice | TX | |
| O P H T H A L M O L O G Y | MS | |
| O P T O M E T R Y | TX | |
| - | WA | |
| - | TX | |
| O P H T H A L M O L O G Y | TX | |
| O P H T H A L M O L O G Y | TX |
Reviews
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