Active NPI
Jose N. Garica-Davalos MD
Doing business as Laredo Medical Optical
- Eyewear Supplier
- Laredo, TX
National Provider Identifier
1053443770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- JOSE N. GARICA-DAVALOS MD
- Doing business as
- Laredo Medical Optical
- Practice address
- 6416 Polaris Dr Ste 101
Laredo, TX 78041-2088 - Phone
- (956) 791-2023
- Fax
- (956) 791-0144
- NPI assigned
- Mar 9, 2007
- Organization subpart
- Yes
- Parent organization
- JOSE N. GARCIA-DAVALOS MD
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jose N Garcia-Davalos, M.D.
- Title
- Ophthalmologist
- Phone
- (956) 791-2023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
6416 Polaris Dr Ste 101
Laredo, TX 78041-2088
Mailing address
6416 Polaris Dr Ste 1
Laredo, TX 78041-2089
Phone (956) 791-2023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154509701 | Medicaid | TX |
Other names 1
- LAREDO MEDICAL OPTICAL
National Provider Directory
National Provider Directory- Part of
- Jose N Garica-Davalos MD
Locations
6416 Polaris Dr
Ste 1
Laredo, TX 78041
6262 McPherson Rd
Ste 101
Laredo, TX 78041
6416 Polaris Dr
Ste 101
Laredo, TX 78041
Phone (956) 791-2023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1053443770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6416 POLARIS DR STE 1",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412089",
"telephone_number": "956-791-2023",
"fax_number": "956-791-0144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6416 POLARIS DR STE 101",
"city": "LAREDO",
"state": "TX",
"postal_code": "780412088",
"telephone_number": "956-791-2023",
"fax_number": "956-791-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSE N. GARICA-DAVALOS MD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOSE N. GARCIA-DAVALOS MD",
"enumeration_date": "2007-03-09",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "GARCIA-DAVALOS",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "N",
"authorized_official_title_or_position": "OPHTHALMOLOGIST",
"authorized_official_telephone_number": "956-791-2023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154509701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LAREDO MEDICAL OPTICAL",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LAREDO MEDICAL OPTICAL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
- Judith Ramos Jordan, LPC
- Jorge & Myra Enterprises Inc (All Seasons Home Care)
- Stephen Jory, PT, DPT
- Jose L Berlioz MD PA (Safari Pediatrics)
- Jose L Berlioz MD PA (Safari Pediatrics)
- Jose Roel Maldonado Jr MD PA
- Joseph P Camero MD PA
- Jalkennen Joseph, MD
- Jamy Josey, N.P.
- Manuel A Jovel-Barriere, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.