Individual provider Active NPI

Higinio Cantres-Carmona, O.D.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1104882745
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6325T Issued in TX
Practice address
11360 Pellicano Dr
El Paso, TX 79936-5904
Phone
(915) 775-2020
NPI assigned
Apr 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6325T TX Primary
Corneal and Contact Management Optometrist 152WC0802X 6325T TX

Addresses

Primary practice location

11360 Pellicano Dr
El Paso, TX 79936-5904

Mailing address

PO Box 26513
El Paso, TX 79926-6513
Phone (915) 775-2020

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
I20170111001997 TX Practitioner - Optometry 1658652391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2260 N Zaragoza Rd
Suite A114
El Paso, TX 79938-8125
Phone (915) 775-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6325TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sky View Optometry PLLC Optometrist CurrentSince Jun 2, 2022 Accepting new patients

Locations

2260 N Zaragoza Rd
Ste A114
El Paso, TX 79938
Phone (915) 543-0008

Interoperability endpoints

  • Direct secure messaging: higinio.cantrescarmona@uprisedirect.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1104882745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26513",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799266513",
            "telephone_number": "915-775-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11360 PELLICANO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365904",
            "telephone_number": "915-775-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRES-CARMONA",
        "first_name": "HIGINIO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6325T",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "6325T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.