Active NPI
Thedalisa Ackep
- Optometrist
- Edinburg, TX
National Provider Identifier
1003748104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11734TG
- Practice address
- 4143 Crosspoint Blvd
Edinburg, TX 78539-1803 - Phone
- (956) 777-7200
- NPI assigned
- Jun 2, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
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 | 11734TG | TX | Primary |
Addresses
Primary practice location
4143 Crosspoint Blvd
Edinburg, TX 78539-1803
Mailing address
14220 Mountain Ridge LN
McAllen, TX 78504-0869
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1519 E 6TH St
Weslaco, TX 78596-6605
314 Furlong Trce
Versailles, KY 40383-2067
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NOTAPPLICABLEYET | MA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thurmond Eye Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Weslaco, TX
- NPI 1629023460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1003748104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14220 MOUNTAIN RIDGE LN",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785040869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4143 CROSSPOINT BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785391803",
"telephone_number": "956-777-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACKEP",
"first_name": "THEDALISA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-06-02",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11734TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.