SAN ANTONIO EYEWORKS PLLC
NPI 1780050286
Clinic/Center in San Antonio, TX

Active since August 19, 2015
4553 N LOOP 1604 W STE 1225, SAN ANTONIO, TX 78249(612) 554-6107 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Antonio Eyeworks Pllc NPPES

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

SAN ANTONIO EYEWORKS PLLC (NPI 1780050286) is a healthcare organization registered as a clinic/center in San Antonio, Texas and active in the NPI registry since August 2015. The organization lists Samin Pezeshk, Od/owner, as its authorized official.

NPPES Registry Identity

NPI1780050286
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameSAN ANTONIO EYEWORKS PLLC
Location Address4553 N LOOP 1604 W STE 1225San Antonio, TX 78249-1365
Mailing Address4553 N Loop 1604 W Ste 1225San Antonio, TX 78249-1365 · (612) 554-6107
Organization SubpartNo
Authorized OfficialSamin PezeshkOd/owner · (612) 554-6107
Enumeration DateAugust 19, 2015
Last NPPES UpdateSeptember 13, 2023
NPPES CertifiedSeptember 13, 2023
✔ NPI 1780050286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in TX · 8342
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
4553 N LOOP 1604 W STE 1225, San Antonio, TX 78249

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)

San Antonio Eyeworks Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to San Antonio Eyeworks PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Optometry
NPI 1891566873
4553 N LOOP 1604 W STE 1225
San Antonio, TX 78249
(210) 251-2372
✔ PECOSSame address
Optometry
NPI 1801024716
4553 N LOOP 1604 W STE 1225
San Antonio, TX 78249
(210) 251-2372
✔ 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.

Medical Equipment Supplier Medicare DMEPOS

Medicare supplier enrollment and the product categories San Antonio Eyeworks carries, from the Medicare DMEPOS supplier directory.

San Antonio Eyeworks

DMEPOS supplier · San Antonio, TXOperated by San Antonio Eyeworks PLLC
✔

Accepts Medicare assignment

San Antonio Eyeworks agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20481689
Medicare Participant SinceNovember 1, 2015
Supplier Location4553 N Loop 1604 W Ste 1225San Antonio, TX 78249
Supplier Specialties
Optometrist Optician

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 San Antonio Eyeworks PLLC's NPI number?

The NPI number for San Antonio Eyeworks PLLC is 1780050286. It was assigned to this organization in the NPPES registry on August 19, 2015.

Where is San Antonio Eyeworks PLLC located?

San Antonio Eyeworks PLLC is located at 4553 N Loop 1604 W Ste 1225, San Antonio, TX 78249. The listed phone number is (612) 554-6107.

What is San Antonio Eyeworks PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is San Antonio Eyeworks PLLC enrolled in Medicare?

Yes. San Antonio Eyeworks PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through San Antonio Eyeworks PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to San Antonio Eyeworks 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does San Antonio Eyeworks PLLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, San Antonio Eyeworks accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does San Antonio Eyeworks PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Baylor Scott and White Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 4 other insurers list San Antonio Eyeworks 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 San Antonio Eyeworks PLLC was last updated on September 13, 2023. 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.