Individual provider Active NPI

Alfredo Verastegui Castaneda Jr., O.D.

  • Optometrist
  • Corpus Christi, TX
National Provider Identifier
1063690329
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6575TG Issued in TX
Practice address
4101 US Highway 77
Suite B-3
Corpus Christi, TX 78410-4542
Phone
(361) 241-9357
Fax
(361) 241-4461
NPI assigned
Feb 8, 2008
Last updated
Feb 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6575TG TX Primary

Addresses

Primary practice location

4101 US Highway 77
Suite B-3
Corpus Christi, TX 78410-4542

Mailing address

4101 US Highway 77
Suite B-3
Corpus Christi, TX 78410-4542
Phone (361) 241-9357

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
I20090403000191 TX Practitioner - Optometry 2163579343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Points Eyecare PLLCGroup PAC ID 4183956154, 2 clinicians

Practice addresses (Care Compare)

4101 Ih 69 Access Rd
Corpus Christi, TX 78410-4543
Phone (361) 241-9357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Five Points Eyecare, PLLC Optometrist CurrentSince Sep 6, 2019 Accepting new patients
Five Points Optical Center Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1063690329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "SUITE B-3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 US HIGHWAY 77",
            "address_2": "SUITE B-3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784104542",
            "telephone_number": "361-241-9357",
            "fax_number": "361-241-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTANEDA",
        "first_name": "ALFREDO",
        "middle_name": "VERASTEGUI",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-08",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6575TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.