SAN ANTONIO EYEWORKS PLLC (NPI# 1780050286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780050286 |
Entity Type | Organization |
Organization Name | SAN ANTONIO EYEWORKS PLLC |
Practice Address |
4553 N Loop 1604 W San Antonio TX 78249 |
Practice Telephone | 6125546107 |
Mailing Telephone | 6125546107 |
Enumeration Date | 2015-08-19 |
Last Update Date | 2015-08-19 |
Authorized Official Name | DR. SAMIN PEZESHK (OD/OWNER) |
Authorized Official Telephone | 6125546107 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 8342 | TX | Ambulatory Health Care Facilities |
Street Address |
4553 N LOOP 1604 W |
City | SAN ANTONIO |
State | TX |
Zip Code | 78249 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053526905 | Joshua Aubrey Austin | Dentist | 4553 N Loop 1604 W, Suite 1211, San Antonio, TX 78249-1363 | 2007-05-14 |
1174003206 | Donna Ann King | Occupational Therapy Assistant | 4553 N Loop 1604 W, San Antonio, TX 78249 | 2018-08-17 |
1851870844 | Carmen H Chelmis | Specialist/Technologist | 4553 N Loop 1604 W, San Antonio, TX 78249-1363 | 2018-08-09 |
1376021956 | Angela Krech | Speech-Language Pathologist | 4553 N Loop 1604 W, San Antonio, TX 78249-1363 | 2018-08-05 |
1407250673 | C of C Pediatrics, LLC | Physical Therapist | 4553 N Loop 1604 W, 1119, San Antonio, TX 78249-1363 | 2014-10-17 |
1831448240 | Pinnacle Wellness | Chiropractor | 4553 N Loop 1604 W, Suite 1107, San Antonio, TX 78249-1363 | 2012-08-30 |
1417203829 | Quoc Ho | Chiropractor | 4553 N Loop 1604 W, Suite 1107, San Antonio, TX 78249-1363 | 2012-08-03 |
1871862961 | Ctw Home Health Dallas, Inc. | Home Health | 4553 N Loop 1604 W, Suite 1119, San Antonio, TX 78249-1363 | 2011-12-20 |
1689865024 | Ctw Home Health, Inc. | Home Health | 4553 N Loop 1604 W, Ste # 1119, San Antonio, TX 78249 | 2007-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
Find all providers in zip 78249 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063030666 | Magenta Health, Inc | Clinic/Center | 3922 Wiseman Blvd Bldg 1, San Antonio, TX 78251-1668 | 2020-07-09 |
1750846135 | Crestview Health Pllc | Clinic/Center | 3619 Ivory Crk, San Antonio, TX 78258-1621 | 2019-02-09 |
1184100836 | Magenta Health, Inc. | Clinic/Center | 1222 North Main, Suite 115, San Antonio, TX 78212 | 2018-07-16 |
1033601299 | Osteopathic Care and Education Pllc | Clinic/Center | 8301 Broadway St Ste 401, San Antonio, TX 78209-2067 | 2018-06-04 |
1942713128 | Daughters of Charity Services of San Antonio | Clinic/Center | 7607 Somerset Rd, San Antonio, TX 78211-3752 | 2017-11-10 |
1649798554 | Womens Comprehensive Clinic for Internal Medicine Pllc | Clinic/Center | 1611 N Alamo St Ste 2, San Antonio, TX 78215-1381 | 2017-08-31 |
1194247247 | Cigna Onsite Health LLC | Clinic/Center | 3302 N Ellison Dr, San Antonio, TX 78251-4773 | 2017-07-11 |
1316470131 | Abmr Medical, Pllc | Clinic/Center | 8302 W Hausman Rd Apt 1026, San Antonio, TX 78249-3759 | 2017-04-08 |
1265965164 | Allcare Medical, Pllc | Clinic/Center | 8302 W Hausman Rd, 1026, San Antonio, TX 78249-3702 | 2017-04-06 |
1265984801 | Shaenfield Vision Source LLC | Clinic/Center | 7915 W 1604 N, Ste 118, San Antonio, TX 78254-9997 | 2016-10-31 |
Find all providers in SAN ANTONIO |
City | SAN ANTONIO |
Zip Code | 78249 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.