Buena Vista Optical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

H8656 Issued in TX

Legal business name

BUENA VISTA OPTICAL INC

Practice address

521 S 10TH St
McAllen, TX 78501-4949

Phone

(956) 631-1951

Fax

(956) 683-1625

NPI assigned

Feb 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Richard Gillett III, M.D

Title

Doctor

Phone

(956) 631-1951

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1023157641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014949",
            "telephone_number": "956-631-1951",
            "fax_number": "956-683-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 S 10TH ST",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785014949",
            "telephone_number": "956-631-1951",
            "fax_number": "956-683-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "GILLETT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "956-631-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "H8656",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162690501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICARE",
            "identifier": "162690501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lydia Diane Brown, APRN
• Shanna Jean Brown, M.D.
• Charmaine F Browne, M.D.
• Kirk Douglas Bryan, RN
• Buckeye Diagnostic Services LLC
• Buena Voluntad Home Care, LLC
• Buena Voluntad Home Care, LLC
• Gustavo Buentello, MD
• Lisa Buentello
• Luis D Buentello, DC

• Eyewear Supplier in McAllen, TX
• Providers in McAllen, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.