CORINA ALYSSA BONILLA OD
NPI 1063258861
Optometrist in San Antonio, TX

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
2810 N LOOP 1604 W STE 200, SAN ANTONIO, TX 78248(210) 822-9800 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 29, 2026, Jul 2, 2024 (2 updates tracked since 2024).

About Corina Alyssa Bonilla Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORINA ALYSSA BONILLA OD (NPI 1063258861) is an individual optometrist in San Antonio, Texas, licensed in Texas (11209TG) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063258861
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameCORINA ALYSSA BONILLACredential: OD
Location Address2810 N LOOP 1604 W STE 200San Antonio, TX 78248-2230
Mailing Address2810 N Loop 1604 W Ste 200San Antonio, TX 78248-2230 · (210) 822-9800
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJuly 2, 2024
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1063258861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11209TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
2810 N LOOP 1604 W STE 200, San Antonio, TX 78248

Other Names 1

Former Name (1)Corina Alyssa Chapa Od

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corina Alyssa Bonilla Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921547183
PECOS Enrollment IDI20240831000413
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Corina Bonilla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ophthalmology
2810 N LOOP 1604 W STE 200
San Antonio, TX 78248
  • Reassigned Medicare billing, Texas enrollment
  • 7 clinicians in this Medicare group
Ophthalmology
800 MCCULLOUGH AVE
San Antonio, TX 78215
  • Reassigned Medicare billing, Texas enrollment
  • 44 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78248 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248
Optometrist
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248
Ophthalmology
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248
Optometrist
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248
Ophthalmology
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248
Optometrist
2810 N LOOP 1604 W STE 200
SAN ANTONIO, TX 78248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Corina Bonilla's NPI number?

The NPI number for Corina Bonilla is 1063258861. It was assigned to this individual provider in the NPPES registry on July 2, 2024. The provider is also known as Corina Alyssa Chapa Od.

Where is Corina Bonilla located?

Corina Bonilla practices at 2810 N Loop 1604 W Ste 200, San Antonio, TX 78248. The listed phone number is (210) 822-9800.

What is Corina Bonilla's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Corina Bonilla enrolled in Medicare?

Yes. Corina Bonilla is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Corina Bonilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Corina Bonilla reassigns Medicare benefits to 2 organizations: Nader G Iskander MD PA (San Antonio, TX) and San Antonio Eye Center, PA (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Corina Bonilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Corina Bonilla accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Corina Bonilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Corina Bonilla was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.