Organization Active NPI

Nelson Juarez, O.D., P.a.

  • Optometrist
  • Alvin, TX
National Provider Identifier
1083897342
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6477TG Issued in TX
Legal business name
NELSON JUAREZ, O.D., P.A.
Practice address
2800 S Gordon St
Alvin, TX 77511-4731
Phone
(281) 331-8681
Fax
(281) 585-4582
NPI assigned
Dec 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Dr. Nelson Juarez, O.D.NPI 1215958996
Title
Owner
Phone
(281) 331-8681

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6477TG TX Primary

Addresses

Primary practice location

2800 S Gordon St
Alvin, TX 77511-4731

Mailing address

2800 S Gordon St
Alvin, TX 77511-4731
Phone (281) 331-8681

Other names 2

  • Primary Eye Care Center Doing business as
  • Texas State Optical of Texas City Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051118000235 TX Part B Supplier - Clinic/Group Practice 2163441114 Receives reassigned benefits from 1 practitioner
Practice locations: Alvin, TX

National Provider Directory

National Provider Directory

Locations

2800 S Gordon St
Alvin, TX 77511
Phone (281) 331-8681

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1083897342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114731",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 S GORDON ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114731",
            "telephone_number": "281-331-8681",
            "fax_number": "281-585-4582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NELSON JUAREZ, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "JUAREZ",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-331-8681",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6477TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas State Optical of Texas City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texas State Optical of Texas City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.