Organization Active NPI

South Texas Eye Centers PA

  • Ophthalmology Physician
  • Brownsville, TX
National Provider Identifier
1053396747
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTH TEXAS EYE CENTERS PA
Practice address
847 Ridgewood St
Brownsville, TX 78520-8645
Phone
(956) 541-1013
Fax
(956) 541-5440
NPI assigned
Dec 14, 2005
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Eric R Barron, M.D.NPI 1417932187
Title
President
Phone
(956) 541-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

847 Ridgewood St
Brownsville, TX 78520-8645

Mailing address

847 Ridgewood St
Brownsville, TX 78520-8645
Phone (956) 541-1013

Other identifiers 1

IdentifierTypeStateIssuer
084100902MedicaidTX

Other names 1

  • Jacob S Plotkin MD PA Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060614000217 TX Part B Supplier - Clinic/Group Practice 1456363365 Receives reassigned benefits from 6 practitioners
Practice locations: Brownsville, TX
O20100930072053 TX DME Supplier - Physician - Ophthalmology 1456363365 1 other NPI on this enrollment
Practice locations: Brownsville, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

2969 Southmost Rd
Brownsville, TX 78521

2969 Southmost Rd
Ste A
Brownsville, TX 78521
Phone (956) 544-0201

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1053396747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS EYE CENTERS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-14",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "BARRON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-541-1013",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084100902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacob S Plotkin MD PA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.