Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Corina Alyssa Bonilla, OD

Individual provider Optometrist · NPI 1063258861

Corina Alyssa Bonilla, OD is an Optometry in San Antonio, Texas. Qualified in 2024, 2 years ago. Practices with San Antonio Eye Center, PA, a 33-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
2
Licensed in
TX
In the registry since
2024
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

2810 N Loop 1604 W Ste 200
San Antonio, TX 78248-2230
Phone: (210) 822-9800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11209TG (TX)

Record details

NPI number1063258861
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 2, 2024
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice San Antonio Eye Center, Pa — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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