Individual provider Active NPI

Celina G Vasquez, O.D.

  • Optometrist
  • Palmview, TX
National Provider Identifier
1043395114
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5398T Issued in TX
Practice address
207 W Palma Vista Dr
Suite I
Palmview, TX 78572-2126
Phone
(956) 519-3350
Fax
(956) 519-3866
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5398T TX Primary

Addresses

Primary practice location

207 W Palma Vista Dr
Suite I
Palmview, TX 78572-2126

Mailing address

207 W Palma Vista Dr
Suite I
Palmview, TX 78572-2126
Phone (956) 519-3350

Other identifiers 1

IdentifierTypeStateIssuer
0929929-02MedicaidTX

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
I20100914000408 TX Practitioner - Optometry 0749339224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care PAGroup PAC ID 7113076696, 2 clinicians

Practice addresses (Care Compare)

207 W Palma Vista Dr
Suite I
Palmview, TX 78572-2127
Phone (956) 519-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5398TXMDAssistant Behavior Analyst
5398TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care PA Optometrist CurrentSince Oct 18, 1999 Accepting new patients
Family Vision Care, PA Optometrist CurrentSince Oct 18, 1999 Accepting new patients

Locations

207 W Palma Vista Dr
Ste I
Palmview, TX 78572
Phone (956) 519-3350

900 W Sam Houston Blvd
Ste 5
Pharr, TX 78577
Phone (956) 781-3300

Organizations & group practices 2

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1043395114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W PALMA VISTA DR",
            "address_2": "SUITE I",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785722126",
            "telephone_number": "956-519-3350",
            "fax_number": "956-519-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W PALMA VISTA DR",
            "address_2": "SUITE I",
            "city": "PALMVIEW",
            "state": "TX",
            "postal_code": "785722126",
            "telephone_number": "956-519-3350",
            "fax_number": "956-519-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "CELINA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5398T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0929929-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmview, TX

Sources for this page

Verify at the official NPI Registry.