Individual provider Active NPI

Edgardo Amaro-Cora, OD

  • Optometrist
  • Del Rio, TX
National Provider Identifier
1073620084
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4421 Issued in TX
Practice address
2415 Veterans Blvd Ste F
Del Rio, TX 78840-8016
Phone
(830) 774-6167
Fax
(830) 775-1457
NPI assigned
Aug 24, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4421 TX Primary

Addresses

Primary practice location

2415 Veterans Blvd Ste F
Del Rio, TX 78840-8016

Mailing address

2415 Veterans Blvd Ste F
Del Rio, TX 78840-8016
Phone (830) 774-6167

Other identifiers 1

IdentifierTypeStateIssuer
140709002MedicaidTX

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
I20040610001118 TX Practitioner - Optometry 9234112236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Puerto Rico School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2415 Veterans Blvd
Suite F
Del Rio, TX 78840-8016
Phone (830) 774-6167

305 E Garfield St
Del Rio, TX 78840-5109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4421TXMDClinical Psychologist
04421TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amaro Eye Clinic PLLC Optometrist CurrentSince Jul 1, 2008 Accepting new patients
Uvalde Optometrists PC Optometrist PastSince Sep 30, 2015 Accepting new patients
JSK Eyecare Optometrist PastSince Mar 1, 2020 Accepting new patients

Locations

2107 Veterans Blvd
Ste 10
Del Rio, TX 78840
Phone (830) 774-6167

2415 Veterans Blvd
Ste F
Del Rio, TX 78840
Phone (830) 774-6167

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1073620084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 VETERANS BLVD STE F",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408016",
            "telephone_number": "830-774-6167",
            "fax_number": "830-775-1457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 VETERANS BLVD STE F",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788408016",
            "telephone_number": "830-774-6167",
            "fax_number": "830-775-1457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMARO-CORA",
        "first_name": "EDGARDO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2026-09-29",
        "certification_date": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140709002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.