Priscilla Rose Heredia, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8680T Issued in TX

Practice address

708 S Bibb Ave
Eagle Pass, TX 78852-5069

Phone

(830) 773-7339

Fax

(830) 773-4618

NPI assigned

Jun 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pheredia@swteyecare.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Priscilla R Heredia OD PLLC

  • Ophthalmology Physician
  • Eagle Pass, TX
  • NPI 1346831146

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435190400000",
    "number": "1104208263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 S BIBB AVE",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788525069",
            "telephone_number": "830-773-7339",
            "fax_number": "830-773-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEREDIA",
        "first_name": "PRISCILLA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2015-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8680T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hearts & Souls Healthcare, LLC
• Hector Alvarez D.D.S.,P.a.
• Hector R. Trevino, M.D., P.a.
• Michael S Heinrich, M.D.
• Helping Hands Provider Services, LLC
• Abigail Naomi Hernandez, DNP, FNP-BC
• Carlos E Hernandez, M.D.
• Cynthia Hernandez, LVN
• Eliezer Hernandez, M.D.
• Emma Ramirez Hernandez, LVN

• Optometrist in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.