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RETINA INSTITUTE OF SOUTH TEXAS
NPI 1629196118
Specialist in Live Oak, TX

Active since March 26, 2007
11651 TOEPPERWEIN RD, STE 201, LIVE OAK, TX 78233(210) 654-0400(210) 654-0460 Get Directions Write a Review

NPPES record last updated: December 8, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Institute Of South Texas NPPES

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

RETINA INSTITUTE OF SOUTH TEXAS (NPI 1629196118) is a healthcare organization registered as a specialist in Live Oak, Texas and active in the NPI registry since March 2007. The organization lists Wendall Bauman, Owner, as its authorized official.

NPPES Registry Identity

NPI1629196118
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRETINA INSTITUTE OF SOUTH TEXAS
Location Address11651 TOEPPERWEIN RD, STE 201Live Oak, TX 78233-3147
Mailing Address137 Primrose PlSan Antonio, TX 78209-3832 · (210) 654-0400 · Fax (210) 654-0460
Phone(210) 654-0400
Fax(210) 654-0460
Organization SubpartNo
Authorized OfficialWendall BaumanOwner · (210) 654-0400
Enumeration DateMarch 26, 2007
Last NPPES UpdateDecember 8, 2014
✔ NPI 1629196118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J4706
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
11651 TOEPPERWEIN RD, Live Oak, TX 78233
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Other Identifiers 5

Medicare ID-Type Unspecified00306ZTX · Group
Medicare UPINE56646TX
Medicaid175842701TX
Medicaid034567003TX
Medicare ID-Type Unspecified8F0845TX · Group Individual

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Institute Of South Texas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Retina Institute Of South Texas, which bills Medicare for the services this clinician delivers.

Clinician (1)

Wendall Bauman, M.D.
Ophthalmology
NPI 1508082132
11651 TOEPPERWEIN RD STE 201
Live Oak, TX 78233
(210) 654-0400
✔ PECOS✔ Accepts MedicareSame address

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 Retina Institute Of South Texas's NPI number?

The NPI number for Retina Institute Of South Texas is 1629196118. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Retina Institute Of South Texas located?

Retina Institute Of South Texas is located at 11651 Toepperwein Rd Ste 201, Live Oak, TX 78233. The listed phone number is (210) 654-0400.

What is Retina Institute Of South Texas's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Retina Institute Of South Texas enrolled in Medicare?

Yes. Retina Institute Of South Texas is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Retina Institute Of South Texas?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Retina Institute Of South Texas. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Retina Institute Of South Texas was last updated on December 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.