KERRY ALLISON PHELAN (NPI# 1922139518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922139518 |
| Entity Type | Individual |
| Full Name | KERRY ALLISON PHELAN |
| Credential | O.D. |
| Practice Address |
1100 Wilford Hall Loop Bldg 4554 San Antonio TX 78236-5638 |
| Mailing Address |
1100 Wilford Hall Loop, Bldg 4554 Attn: 59mdw/sghc Jbsa Lackland TX 78236-9908 |
| Practice Telephone | 2102921055 |
| Mailing Telephone | 2102926225 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2019-05-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7115 TG | TX | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215303326 | Kerry Phelan | Speech-Language Pathologist | 4560 W 103rd St, Unit 2, Oak Lawn, IL 60453-4869 | 2015-08-12 |
| 1881002517 | Kerry Marie Phelan | Physician Assistant | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2014-07-25 |
| Street Address |
1100 WILFORD HALL LOOP BLDG 4554 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78236-5638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114410255 | Alyssa-joy Talon Oviatt | Dentist | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2018-06-13 |
| 1609396845 | Jacob Gerald Dodd | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2017-06-20 |
| 1841664646 | Precious Jones | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-11-18 |
| 1467828913 | Valerie Say Martinez | Social Worker | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-19 |
| 1114303815 | Karen Torres | Counselor | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-08-04 |
| 1952781379 | Janelle Gyorffy | Internal Medicine | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-06-01 |
| 1457746364 | David Robert Stachniak | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2015-03-30 |
| 1265824742 | Christopher Bailey | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236-5638 | 2015-02-20 |
| 1740692276 | Lesli Tristan | General Practice | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2014-06-02 |
| 1225376726 | Milton R Miranda | Pediatrics | 1100 Wilford Hall Loop Bldg 4554, San Antonio, TX 78236 | 2013-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981684 | Joel George | Optometrist | 6418 Eckhert Rd Apt 4206, San Antonio, TX 78240-3142 | 2020-10-29 |
| 1720687056 | Judy Hoang | Optometrist | 8910 Bandera Rd Ste 105, San Antonio, TX 78250-3227 | 2020-10-19 |
| 1194323923 | Vibrant Eyecare, Pllc | Optometrist | 2310 Sw Military Dr Ste 248b, San Antonio, TX 78224-1409 | 2020-10-14 |
| 1003420126 | Anna Hoai Pham | Optometrist | 120 Empresario Dr Ste 111, San Antonio, TX 78245-4012 | 2020-09-04 |
| 1245857226 | Lyndsey A Sandoval | Optometrist | 7400 Minton Miner St, San Antonio, TX 78229 | 2020-06-25 |
| 1578189817 | Arushah Manasia | Optometrist | 255 E Sonterra Blvd Bldg 3, San Antonio, TX 78258-4075 | 2020-06-23 |
| 1912527151 | The Laser Eye Center of San Antonio P.l.l.c. | Optometrist | 434 N Loop 1604 W Ste 3201, San Antonio, TX 78232-1376 | 2020-04-17 |
| 1851924989 | Neda Vatanpour | Optometrist | 22026 Us Highway 281 N, San Antonio, TX 78258-7656 | 2020-02-18 |
| 1013547025 | National Vision Inc | Optometrist | 17802 La Cantera Pkwy Ste 112, San Antonio, TX 78257-8212 | 2020-01-17 |
| 1801435474 | Eyes of Cresta Bella, Pllc | Optometrist | 19739 Ih 10 W Ste 112, San Antonio, TX 78257-1816 | 2019-12-31 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78236 |
Please comment or provide details below to improve the information on KERRY ALLISON PHELAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.