Active NPI
Deanna I. Pena-Garcia, OD
- Optometrist
- Houston, TX
National Provider Identifier
1043326622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 05485TG
- Practice address
- 2855 Gramercy St
Houston, TX 77025-1756 - Phone
- (713) 668-1828
- Fax
- (713) 395-1666
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- 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 | 05485TG | TX | Primary |
Addresses
Primary practice location
2855 Gramercy St
Houston, TX 77025-1756
Mailing address
7155 Old Katy Rd
Suite N100
Houston, TX 77024-2134
Phone (713) 668-6828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05485TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1043326622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7155 OLD KATY RD",
"address_2": "SUITE N100",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242134",
"telephone_number": "713-668-6828",
"fax_number": "832-280-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 GRAMERCY ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251756",
"telephone_number": "713-668-1828",
"fax_number": "713-395-1666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PENA-GARCIA",
"first_name": "DEANNA",
"middle_name": "I.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "05485TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.