SITTERLE VISION SOURCE
NPI 1124578208
Optometrist in San Antonio, TX
About Sitterle Vision Source NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SITTERLE VISION SOURCE (NPI 1124578208) is a healthcare organization registered as an optometrist in San Antonio, Texas and active in the NPI registry since October 2016. The organization lists Nicole Cavazos Maldonado, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Sitterle Vision Source is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Sitterle Vision Source, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
San Antonio, TX 78247
San Antonio, TX 78247
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 Sitterle Vision Source PLLC's NPI number?
The NPI number for Sitterle Vision Source PLLC is 1124578208. It was assigned to this organization in the NPPES registry on October 12, 2016. The provider is doing business as Sitterle Vision Source.
Where is Sitterle Vision Source PLLC located?
Sitterle Vision Source PLLC is located at 2950 Thousand Oaks Dr Ste 23, San Antonio, TX 78247. The listed phone number is (210) 490-9091.
What is Sitterle Vision Source PLLC's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Sitterle Vision Source PLLC enrolled in Medicare?
Yes. Sitterle Vision Source PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sitterle Vision Source PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Sitterle Vision Source PLLC. 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Sitterle Vision Source PLLC 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 7 other insurers list Sitterle Vision Source PLLC 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 Sitterle Vision Source PLLC was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Sitterle Vision Source · NPI 1124578208
Optometrist organization in San Antonio, Texas. Organization record, active in the CMS NPPES registry since October 12, 2016.
## Identity
- **NPI:** 1124578208 (Entity type: Organization)
- **Enumerated:** October 12, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Legal business name:** Sitterle Vision Source Pllc
- **Organization subpart:** No
- **Authorized official:** Nicole Maldonado, OPTOMETRIST
## Practice location
- **Address:** 2950 THOUSAND OAKS DR STE 23, San Antonio, TX 78247-3347
- **Phone:** (210) 490-9091 · **Fax:** (877) 259-0981
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1124578208) · Data from the CMS NPPES public registry.