SONG ANTHIMUS PARK (O.D.) – Optometrist, NPI 1902288434

SONG ANTHIMUS PARK (O.D.) is a healthcare provider. based in San antonio, Texas. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 8681 (TX). The NPI Number for SONG ANTHIMUS PARK (O.D.) is 1902288434

Main info

Male
Name
SONG ANTHIMUS PARK (O.D.)
NPI
1902288434
Phone
Not provided
Address
14011 FAIRWAY OAKS
Enumeration Date
20 June 2015
Last Update Date
24 May 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

Provider Addresses for SONG ANTHIMUS PARK (O.D.)

  • 14011 FAIRWAY OAKS

    SAN ANTONIO, TX 782171651

    Phone:

    Type: Mailing

  • 13593 US HIGHWAY 87 W # 105

    LA VERNIA, TX 781215884

    Phone: (210) 387-2266

    Type: Location

  • 3551 ROGER BROOKE DR

    FORT SAM HOUSTON, TX 782344504

    Phone: (210) 387-2266

    Type: Mailing

  • 650 HUEBNER RD

    FORT RILEY, KS 664424030

    Phone: (785) 239-7151

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $247.

Total Amount is formed as General ($247) + Research ($0) + Ownership ($0) = $247.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Amgen Inc. ($125).

Total Amount

$247

General + Research + Ownership

Payments

2

Total payment records

General Amount

$247

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

Top Companies

Largest payers in this snapshot

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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 78217)

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Reviews

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Frequently asked questions

Is SONG ANTHIMUS PARK (O.D.) listed with a National Provider Identifier?
Yes — SONG ANTHIMUS PARK (O.D.) has NPI 1902288434 on file in the registry.
Active or inactive — what applies to SONG ANTHIMUS PARK (O.D.)?
You should see SONG ANTHIMUS PARK (O.D.) as active in CMS-hosted NPPES data.
What expertise is attributed to SONG ANTHIMUS PARK (O.D.)?
SONG ANTHIMUS PARK (O.D.)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
Is SONG ANTHIMUS PARK (O.D.) located near San Antonio?
SONG ANTHIMUS PARK (O.D.) currently maps to San Antonio, Texas in this extract.
When was this NPI issued?
Enumeration for SONG ANTHIMUS PARK (O.D.) is noted as June 20, 2015 where the registry provides it.

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