Active NPI
Jose Riojas Jr., OD
- Optometrist
- Eagle Pass, TX
National Provider Identifier
1124014279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2476TG
- Practice address
- 355 N Ceylon St
Eagle Pass, TX 78852-4503 - Phone
- (830) 773-1135
- Fax
- (830) 773-6244
- NPI assigned
- Sep 23, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2476TG | TX | Primary |
Addresses
Primary practice location
355 N Ceylon St
Eagle Pass, TX 78852-4503
Mailing address
355 N Ceylon St
Eagle Pass, TX 78852-4503
Phone (830) 773-1135
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 093413501 | Medicaid | TX |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100114000160 | TX | Practitioner - Optometry | 8628119575 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260489600000",
"number": "1124014279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 N CEYLON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524503",
"telephone_number": "830-773-1135",
"fax_number": "830-773-6244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 N CEYLON ST",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788524503",
"telephone_number": "830-773-1135",
"fax_number": "830-773-6244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOJAS",
"first_name": "JOSE",
"name_suffix": "Jr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-23",
"last_updated": "2009-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2476TG",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093413501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eagle Pass, TX
- Richard Garza Dba la Guadalupana Primary Home Care Agency
- Rigo'S Home Medical Supplies LLC
- Michael Corry Ringwood, D.P.M.
- Rio Bravo Health System LLC
- Rio Grande Ambulance LLC
- Rising Sun Health Services, LLC
- Toyoko Ikeda Rivera, MS, M.ED
- Anally Mariel Rodriguez
- Brianna V Rodriguez, LVN
- Janelle Rodriguez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.