CUSTOM EYE CARE
NPI 1114116696
Optometrist in San Antonio, TX
About Custom Eye Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CUSTOM EYE CARE (NPI 1114116696) is a healthcare organization registered as an optometrist in San Antonio, Texas and active in the NPI registry since October 2007. The organization lists Marie Elaine Vlasak, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Custom Eye Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Custom Eye Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
San Antonio, TX 78257
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 M. Elaine Vlasak, Od, PA's NPI number?
The NPI number for M. Elaine Vlasak, Od, PA is 1114116696. It was assigned to this organization in the NPPES registry on October 19, 2007. The provider is doing business as Custom Eye Care.
Where is M. Elaine Vlasak, Od, PA located?
M. Elaine Vlasak, Od, PA is located at 17503 La Cantera Pkwy Suite 115, San Antonio, TX 78257. The listed phone number is (210) 699-3937.
What is M. Elaine Vlasak, Od, PA's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is M. Elaine Vlasak, Od, PA enrolled in Medicare?
Yes. M. Elaine Vlasak, Od, PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through M. Elaine Vlasak, Od, PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to M. Elaine Vlasak, Od, PA. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does M. Elaine Vlasak, Od, PA 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 9 other insurers list M. Elaine Vlasak, Od, PA 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 M. Elaine Vlasak, Od, PA was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.
# Custom Eye Care · NPI 1114116696
Optometrist organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since October 19, 2007.
## Identity
- **NPI:** 1114116696 (Entity type: Organization)
- **Enumerated:** October 19, 2007
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** M. Elaine Vlasak, Od, Pa
- **Organization subpart:** No
- **Authorized official:** Marie Vlasak, PRESIDENT
## Practice location
- **Address:** 17503 LA CANTERA PKWY, SUITE 115, San Antonio, TX 78257-8207
- **Phone:** (210) 699-3937 · **Fax:** (210) 200-6339
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2011
- **Other identifiers:** Medicaid 0933426-03 (TX); Medicare UPIN U57756 (TX); Medicare PIN 00Y583 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114116696) · Data from the CMS NPPES public registry.