Individual provider Active NPI

Jaime Rodriguez, O.D.

  • Optometrist
  • Weslaco, TX
National Provider Identifier
1003820168
Registry record updated Oct 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5749TG Issued in TX
Practice address
415 S Airport Dr
Ste. H
Weslaco, TX 78596-5395
Phone
(956) 447-2020
Fax
(956) 969-0459
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5749TG TX Primary

Addresses

Primary practice location

415 S Airport Dr
Ste. H
Weslaco, TX 78596-5395

Mailing address

415 S Airport Dr
Ste. H
Weslaco, TX 78596-5395
Phone (956) 447-2020

Other identifiers 2

IdentifierTypeStateIssuer
0306300-01MedicaidTX
00E70ZOtherTXBLUE CROSS BLUE SHIELD

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
I20031201000081 TX Practitioner - Optometry 3375448749 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Weslaco, TX; Sen Benito, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RGV Vision Care LLCGroup PAC ID 6507112885, 2 clinicians

Practice addresses (Care Compare)

415 S Airport Dr
Ste. H
Weslaco, TX 78596-5395
Phone (956) 447-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5749TXMDBehavioral Analyst
5749TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Vision Care LLC Optometrist CurrentSince May 11, 2018 Accepting new patients
Jaime Rodriguez OD Optometrist PastSince Jan 1, 1990 Accepting new patients
Guillen Eyecare PLLC Optometrist PastSince Feb 27, 2012 Accepting new patients

Locations

801 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 361-7600

415 S Airport Dr
Weslaco, TX 78596
Phone (720) 236-4651

415 S Airport Dr
Ste H
Weslaco, TX 78596
Phone (956) 447-2020

Interoperability endpoints

  • Direct secure messaging: jaime.rodriguez@uprisedirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 3

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382054400000",
    "number": "1003820168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR",
            "address_2": "STE. H",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965395",
            "telephone_number": "956-447-2020",
            "fax_number": "956-969-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 S AIRPORT DR",
            "address_2": "STE. H",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785965395",
            "telephone_number": "956-447-2020",
            "fax_number": "956-969-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5749TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0306300-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00E70Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.