DR. KAREN ALONDRA SANDOVAL
NPI 1801786645
Optometrist in San Antonio, TX

Q: What is Karen Sandoval's NPI number?

The NPI number for Karen Sandoval is 1801786645. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Q: What is Karen Sandoval'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 Karen Sandoval was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 July 03, 2025PECOS EnrolledAccepts Medicare Assignment

14244 POTRANCO RD STE 450, SAN ANTONIO, TX 78253(210) 701-8303(210) 899-1199 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Karen Alondra Sandoval NPPES

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

DR. KAREN ALONDRA SANDOVAL (NPI 1801786645) is an individual optometrist in San Antonio, Texas, licensed in Texas (11416) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801786645

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. KAREN ALONDRA SANDOVAL

Location Address14244 POTRANCO RD STE 450San Antonio, TX 78253-2145

Mailing Address14244 Potranco Rd Ste 450San Antonio, TX 78253-2145 · (210) 701-8303 · Fax (210) 899-1199

Phone(210) 701-8303

Fax(210) 899-1199

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJuly 3, 2025

NPPES CertifiedJuly 3, 2025

✔ NPI 1801786645 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 · 11416

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.

14244 POTRANCO RD STE 450, San Antonio, TX 78253

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karen Alondra Sandoval 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 ID6406343482

PECOS Enrollment IDI20251014001601

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.

Medicare Billing Reassignment

Medicare enrollment records show Karen Sandoval reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Antonio Eye Center, PA

17 mi

Ophthalmology

800 MCCULLOUGH AVE
San Antonio, TX 78215

Reassigned Medicare billing, Texas enrollment
44 clinicians in this Medicare group

NPI 1407808173 (210) 226-6169

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78253 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

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

POTRANCO EYE CARE, PLLC

Optometrist

14244 POTRANCO RD STE 450
SAN ANTONIO, TX 78253

Bexar County (210) 701-8303

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 Karen Sandoval's NPI number?

The NPI number for Karen Sandoval is 1801786645. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Karen Sandoval located?

Karen Sandoval practices at 14244 Potranco Rd Ste 450, San Antonio, TX 78253. The listed phone number is (210) 701-8303.

What is Karen Sandoval's specialty?

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

Is Karen Sandoval enrolled in Medicare?

Yes. Karen Sandoval 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.

Which organization bills Medicare for Karen Sandoval's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Sandoval reassigns Medicare benefits to San Antonio Eye Center, PA (San Antonio, TX). The 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 Karen Sandoval's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Sandoval 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 17 other insurers list Karen Sandoval 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 Karen Sandoval was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.