Individual provider Active NPI

Edward Garza, OD

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1043322274
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4471TG Issued in TX
Practice address
5488 S Padre Island Dr
Ste 2042
Corpus Christi, TX 78411-4109
Phone
(361) 994-0310
Fax
(361) 994-0452
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4471TG TX Primary

Addresses

Primary practice location

5488 S Padre Island Dr
Ste 2042
Corpus Christi, TX 78411-4109

Mailing address

5488 S Padre Island Dr
Ste 2042
Corpus Christi, TX 78411-4109
Phone (361) 994-0310

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
I20101208001236 TX Practitioner - Optometry 2264629880 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Texas Medical School at Houston, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors McIntyre and GarzaGroup PAC ID 4183604861, 11 clinicians

Practice addresses (Care Compare)

5488 S Padre Island Dr
Suite 2042
Corpus Christi, TX 78411-4122
Phone (361) 994-0310

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4471TXMDBehavioral Analyst
4471TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors McIntyre and Garza Optometrist CurrentSince Jul 10, 1991 Accepting new patients

Locations

5488 Spid Dr
Ste 2042
Corpus Christi, TX 78411
Phone (361) 994-0310

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.

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1043322274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR",
            "address_2": "STE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114109",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5488 S PADRE ISLAND DR",
            "address_2": "STE 2042",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114109",
            "telephone_number": "361-994-0310",
            "fax_number": "361-994-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4471TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.