SOUTH TEXAS VISION ASSOCIATES, P.A.
NPI 1306969670
Optometrist in San Antonio, TX

Active since April 09, 2007
5212 BROADWAY ST, SAN ANTONIO, TX 78209(210) 829-8083 Get Directions Write a Review

NPPES record last updated: August 29, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Texas Vision Associates, P.a. NPPES

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

SOUTH TEXAS VISION ASSOCIATES, P.A. (NPI 1306969670) is a healthcare organization registered as an optometrist in San Antonio, Texas and active in the NPI registry since April 2007. The organization lists Mario Gutierrez, President, as its authorized official.

NPPES Registry Identity

NPI1306969670
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTH TEXAS VISION ASSOCIATES, P.A.
Location Address5212 BROADWAY STSan Antonio, TX 78209-5712
Mailing Address5212 Broadway StSan Antonio, TX 78209-5712 · (210) 829-8083
Organization SubpartNo
Authorized OfficialMario GutierrezPresident · (210) 829-8083
Enumeration DateApril 9, 2007
Last NPPES UpdateAugust 29, 2007
✔ NPI 1306969670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
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.
5212 BROADWAY ST, San Antonio, TX 78209

Other Identifiers 2

Medicaid0194200101TX
Medicare PIN00E59MTX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Texas Vision Associates, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20040303000814Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to South Texas Vision Associates, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Optometry
NPI 1699269845
5212 BROADWAY ST
San Antonio, TX 78209
(210) 829-8083
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1831295955
5212 BROADWAY ST
San Antonio, TX 78209
(210) 829-8083
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1396972436
5212 BROADWAY ST
San Antonio, TX 78209
(210) 829-8083
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1154915353
5212 BROADWAY
San Antonio, TX 78209
(210) 829-8083
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1144955915
1939 NE LOOP 410 STE 200
San Antonio, TX 78217
(210) 822-7239
✔ PECOS✔ Accepts Medicare3.5 mi
Optometry
NPI 1417339581
16793 SAN PEDRO AVE
San Antonio, TX 78232
(210) 545-4772
✔ PECOS8.4 mi
Optometry
NPI 1679115935
13107 NEUMANN CV
San Antonio, TX 78249
(949) 338-6256
✔ PECOS11 mi

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 South Texas Vision Associates, P.A.'s NPI number?

The NPI number for South Texas Vision Associates, P.A. is 1306969670. It was assigned to this organization in the NPPES registry on April 9, 2007.

Where is South Texas Vision Associates, P.A. located?

South Texas Vision Associates, P.A. is located at 5212 Broadway St, San Antonio, TX 78209. The listed phone number is (210) 829-8083.

What is South Texas Vision Associates, P.A.'s specialty?

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

Is South Texas Vision Associates, P.A. enrolled in Medicare?

Yes. South Texas Vision Associates, P.A. is registered in the Medicare PECOS enrollment system.

When is South Texas Vision Associates, P.A.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through South Texas Vision Associates, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Optometry, reassign their Medicare billing to South Texas Vision Associates, P.A.. 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, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does South Texas Vision Associates, P.A. accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list South Texas Vision Associates, P.A. 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 South Texas Vision Associates, P.A. was last updated on August 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.