MR. EDDY SIDRA O.D.
NPI 1437792876
Optometrist in San Antonio, TX

Q: What is Eddy Sidra's NPI number?

The NPI number for Eddy Sidra is 1437792876. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Q: What is Eddy Sidra's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Eddy Sidra was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 17, 2019PECOS EnrolledAccepts Medicare Assignment

7400 SAN PEDRO AVENUE, SUITE 486, SAN ANTONIO, TX 78216(210) 541-0008 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 20, 2025, Oct 23, 2019, Oct 17, 2019 (3 updates tracked since 2019).

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About Mr. Eddy Sidra O.d. NPPES

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

MR. EDDY SIDRA O.D. (NPI 1437792876) is an individual optometrist in San Antonio, Texas, licensed in Texas (9862) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1437792876

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMR. EDDY SIDRACredential: O.D.

Location Address7400 SAN PEDRO AVENUE, SUITE 486San Antonio, TX 78216

Mailing Address1115 Green Oaks RdFort Worth, TX 76116-1501 · (817) 835-7551

Phone(210) 541-0008

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 17, 2019

Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 20, 2025

✔ NPI 1437792876 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 · 9862

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.

7400 SAN PEDRO AVENUE, San Antonio, TX 78216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Eddy Sidra O.d. 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 ID3274904644

PECOS Enrollment IDI20240129003481

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.

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.

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78216 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.

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 Eddy Sidra's NPI number?

The NPI number for Eddy Sidra is 1437792876. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Eddy Sidra located?

Eddy Sidra practices at 7400 San Pedro Avenue Suite 486, San Antonio, TX 78216. The listed phone number is (210) 541-0008.

What is Eddy Sidra's specialty?

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

Is Eddy Sidra enrolled in Medicare?

Yes. Eddy Sidra 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.

What insurance does Eddy Sidra accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list Eddy Sidra 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 Eddy Sidra was last updated on February 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.