LYDIA HAN OD
NPI 1619621968
Optometrist in San Antonio, TX

Active since February 07, 2022PECOS EnrolledAccepts Medicare Assignment
120 EMPRESARIO DR STE 111, SAN ANTONIO, TX 78245(210) 957-0770 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2022, Feb 7, 2022 (2 updates tracked since 2022).

About Lydia Han Od NPPES

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

LYDIA HAN OD (NPI 1619621968) is an individual optometrist in San Antonio, Texas, licensed in Texas (10455T) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1619621968
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameLYDIA HANCredential: OD
Location Address120 EMPRESARIO DR STE 111San Antonio, TX 78245-4012
Mailing Address902 Gembler Rd Apt 2310San Antonio, TX 78219-2116 · (916) 517-9300
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 7, 2022
Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration
NPPES CertifiedAugust 16, 2022
NPI 1619621968 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 · 10455T
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.
120 EMPRESARIO DR STE 111, San Antonio, TX 78245

Secondary Practice Location 1

Location 12547 E Commerce StSan Antonio, TX 78203-1907 · Phone (210) 619-7020

Accepted 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

Lydia Han 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 ID5991174898
PECOS Enrollment IDI20221216000203
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78245 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 2

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

Optometrist
120 EMPRESARIO DR STE 111
SAN ANTONIO, TX 78245
Optometrist
120 EMPRESARIO DR STE 111
SAN ANTONIO, TX 78245

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 Lydia Han's NPI number?

The NPI number for Lydia Han is 1619621968. It was assigned to this individual provider in the NPPES registry on February 7, 2022.

Where is Lydia Han located?

Lydia Han practices at 120 Empresario Dr Ste 111, San Antonio, TX 78245. The listed phone number is (210) 957-0770.

What is Lydia Han's specialty?

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

Is Lydia Han enrolled in Medicare?

Yes. Lydia Han 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 Lydia Han 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 8 other insurers list Lydia Han 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 Lydia Han was last updated on August 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.