Individual provider Active NPI

Ricardo Rodriguez, O.D.

  • Optometrist
  • Irving, TX
National Provider Identifier
1003275165
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8808 Issued in TX
Practice address
5225 Las Colinas Blvd Apt 4060
Irving, TX 75039-4581
Phone
(818) 854-5651
NPI assigned
Feb 17, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8808 TX Primary

Addresses

Primary practice location

5225 Las Colinas Blvd Apt 4060
Irving, TX 75039-4581

Mailing address

5225 Las Colinas Blvd Apt 4060
Irving, TX 75039-4555
Phone (818) 854-5651

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250226002583 TX Practitioner - Optometry 2769902345 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8808TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Ricardo Rodriguez O.D. Vision & Assoc. PLLC Optometrist Current Accepting new patients
Eyemotivate Vision Care & Eyewear Gallery Optometrist CurrentSince Jan 6, 2025 Accepting new patients

Locations

900 N Industrial Blvd
Ste 400
Euless, TX 76039
Phone (214) 699-6992

1400 Precinct Line Rd
Hurst, TX 76053
Phone (817) 282-1975

Networks

  • NM HMO C-SNP
  • TX HMO
  • TX HMO D-SNP

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1003275165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 LAS COLINAS BLVD APT 4060",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394555",
            "telephone_number": "818-854-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 LAS COLINAS BLVD APT 4060",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750394581",
            "telephone_number": "818-854-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "RICARDO",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.