Individual provider Active NPI

Victor A Rubio

  • Optician
  • El Paso, TX
National Provider Identifier
1144522962
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
163732
Practice address
7132 N Mesa St
El Paso, TX 79912-3651
Phone
(915) 587-8667
Fax
(915) 533-2468
NPI assigned
Nov 30, 2010
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 163732 Primary

Addresses

Primary practice location

7132 N Mesa St
El Paso, TX 79912-3651

Mailing address

14476 Horizon Blvd Ste L
Horizon City, TX 79928-8579
Phone (915) 239-5605

Other identifiers 1

IdentifierTypeStateIssuer
163732OtherCETIFIED OPTICIAN ABOC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Optical, Inc Optician Current Accepting new patients

Locations

7132 N Mesa St
El Paso, TX 79912
Phone (915) 587-0900

14476 Horizon Blvd
Ste L
Horizon City, TX 79928
Phone (915) 852-4474

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1144522962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14476 HORIZON BLVD STE L",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799288579",
            "telephone_number": "915-239-5605",
            "fax_number": "915-533-2468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7132 N MESA ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123651",
            "telephone_number": "915-587-8667",
            "fax_number": "915-533-2468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "VICTOR",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-30",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": "163732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CETIFIED OPTICIAN ABOC",
            "identifier": "163732",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.