Organization Active NPI

Carmona Eye Care PLLC

  • Optometrist
  • El Paso, TX
National Provider Identifier
1003322397
Registry record updated Dec 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6325
Legal business name
CARMONA EYE CARE PLLC
Practice address
11360 Pellicano Dr
El Paso, TX 79936-5904
Phone
(915) 775-2020
Fax
(915) 590-6224
NPI assigned
Dec 21, 2017
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sherri Dement
Title
Credentialing Coordinator
Phone
(210) 249-0234

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6325 Primary

Addresses

NPPES NPI Registry

Primary practice location

11360 Pellicano Dr
El Paso, TX 79936-5904

Mailing address

11360 Pellicano Dr
El Paso, TX 79936-5904
Phone (915) 775-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 21, 2017.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513814400000",
    "number": "1003322397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11360 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365904",
            "telephone_number": "915-775-2020",
            "fax_number": "915-590-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365904",
            "telephone_number": "915-775-2020",
            "fax_number": "915-590-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARMONA EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-21",
        "last_updated": "2017-12-21",
        "status": "A",
        "authorized_official_last_name": "DEMENT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "210-249-0234"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": "6325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.