Active NPI
Ricardo Rodriguez, O.D.
- Optometrist
- Irving, TX
National Provider Identifier
1003275165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8808
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8808 | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ricardo Rodriguez O.D. Vision & Assoc. PLLC | Optometrist | Current | Accepting new patients |
| Eyemotivate Vision Care & Eyewear Gallery | Optometrist | Current | 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.
-
dba Eyemotivate Eye Care & Eyewear Gallery
- Optometrist
- Euless, TX
- NPI 1891513511
-
dba EyeMotivate Eye Care
- Optometrist
- Hurst, TX
- NPI 1710543608
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.