Individual provider Active NPI

Maria Del Carmen Soto, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1114594504
Registry record updated Jun 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10245T Issued in TX
Practice address
2222 Montana Ave
El Paso, TX 79903-3602
Phone
(915) 544-6700
NPI assigned
Jun 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10245T TX Primary

Addresses

Primary practice location

2222 Montana Ave
El Paso, TX 79903-3602

Mailing address

13709 Samlesbury Ave
El Paso, TX 79928-2333
Phone (817) 863-2005

Other practice location 1

1325 George Dieter Dr
El Paso, TX 79936-7485
Phone (915) 591-8800

Other practice location 2

7410 Remcon Cir Ste K
El Paso, TX 79912-3500
Phone (915) 587-9400

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
I20210614003444 TX Practitioner - Optometry 2961802822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

1325 George Dieter Dr
Suite I2
El Paso, TX 79936-7484
Phone (915) 587-9400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10245TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Sep 24, 2021 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients

Locations

209 Market St
Burleson, TX 76028
Phone (817) 295-0186

839 N Nolan River Rd
Cleburne, TX 76033
Phone (817) 645-2411

2222 Montana Ave
El Paso, TX 79903
Phone (915) 544-6700

7410 Remcon Cir
El Paso, TX 79912

7410 Remcon Cir
Ste K
El Paso, TX 79912
Phone (915) 587-9400

1325 George Dieter Dr
Ste I2
El Paso, TX 79936
Phone (915) 587-9400

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

7728 Mid Cities Blvd
Richland Hls, TX 76180
Phone (817) 218-3386

670 E Southlake Blvd
Southlake, TX 76092
Phone (817) 329-6466

1829 Martin Dr
Ste 200
Weatherford, TX 76086
Phone (817) 594-2311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622851200000",
    "number": "1114594504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13709 SAMLESBURY AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799282333",
            "telephone_number": "817-863-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799033602",
            "telephone_number": "915-544-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1325 George Dieter Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799367485",
            "country_code": "US",
            "telephone_number": "915-591-8800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7410 Remcon Cir Ste K",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799123500",
            "country_code": "US",
            "telephone_number": "915-587-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "MARIA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-05",
        "certification_date": "2021-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10245T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.