Unknown Individual – Optometrist, NPI 1760455471

Optometrist

Unknown Individual is a healthcare provider. based in San antonio, Texas. specializing in Optometrist. They hold a License No. 8516-TG (TX). The NPI Number for Unknown Individual is 1760455471

Main info

Organization

Inactive

43 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1760455471

Phone

(210) 340-1212

Address

5430 FREDERICKSBURG RD

Deactivation Date

13 February 2025

Doctor Profile

Medical School Name

FERRIS STATE COLLEGE - COLLEGE OF OPTOMETRY

Secondary Phone

2103401212

Graduation Year

1983 (43 years ago)

PAC ID

5496070476

Group Practice PAC ID

1951385012

Professional Enrollment ID

I20150216000269

Contacts

Secure Messaging

nicolas@rashidrice.ecldirect.net

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience14

Completeness85

Years active:0State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for Unknown Individual

5430, Holley Oak Lane, Fredericksburg, Spotsylvania County, Virginia, 22407, United States
SUITE 100
SAN ANTONIO, TX 78229
Phone: (210) 340-1212
Fax: (210) 525-9617
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 78229)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Optometrist. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
OPTOMETRY	TX	92134	Diagnostic imaging of retina	11	11
OPTOMETRY	TX	92012	Eye and medical examination for diagnosis and treatment, established patient	313	226
OPTOMETRY	TX	92083	Measurement of field of vision during daylight conditions	25	21

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 1951385012View full group profile

Name	Specialty	State
DR. GREGORY BRUNIN (M.D.)	O P H T H A L M O L O G Y	TX
DR. MARK GERARD CAROLAN (O.D.)	O P T O M E T R Y	TX
DR. CHARLES DANIEL REILLY (M.D.)	-	TX
DR. MATTHEW CALDWELL (M.D.)	O P H T H A L M O L O G Y	TX
DR. WILLIAM JOHN FLYNN (M.D., O.D.)	O P H T H A L M O L O G Y	TX
TERESA CHUI (OD)	O P T O M E T R Y	TX
DR. ANHTUAN HOANG NGUYEN (MD)	O P H T H A L M O L O G Y	TX
DR. MELANIE P GONZALEZ-OLIVA (O.D.)	O P T O M E T R Y	TX
DR. EDWARD RAYMOND RASHID (M.D.)	-	TX