Individual provider Active NPI

Carlos A Calvo, OD

  • Optometrist
  • Houston, TX
National Provider Identifier
1073124913
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10078 Issued in TX
Practice address
2727 Revere St Apt 1046
Houston, TX 77098-1342
Phone
(281) 787-5907
NPI assigned
Aug 13, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10078 TX Primary

Addresses

Primary practice location

2727 Revere St Apt 1046
Houston, TX 77098-1342

Mailing address

2727 Revere St Apt 1046
Houston, TX 77098-1342
Phone (281) 787-5907

Other identifiers 1

IdentifierTypeStateIssuer
10078MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Houston

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
I20231227000243 TX Practitioner - Optometry 2264882794 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Centers of Southeast Texas LLPGroup PAC ID 0143252536, 17 clinicians

Practice addresses (Care Compare)

2300 FM
Suite 670
Nederland, TX 77627-2010
Phone (409) 833-0444

Merit-based Incentive Payment System (MIPS)

Final score
92.19 of 100Reported as individual
Quality
84.38
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10078TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Centers of Southeast Texas LLP Single Specialty CurrentSince Jan 1, 2024 Accepting new patients
Southeast Texas Eye Specialists, PLLC Past Accepting new patients

Locations

3345 Plaza 10 Dr
Ste B
Beaumont, TX 77707
Phone (409) 833-0009

2300 Highway 365
Ste 670
Nederland, TX 77627
Phone (409) 722-6000

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": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1073124913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 REVERE ST APT 1046",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981342",
            "telephone_number": "281-787-5907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 REVERE ST APT 1046",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770981342",
            "telephone_number": "281-787-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO",
        "first_name": "CARLOS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10078",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "address_1": "2727 Revere St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770981328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.