Individual provider Active NPI

Erica Alfaro, O.D

  • Optometrist
  • Houston, TX
National Provider Identifier
1144659509
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8080 Issued in TX
Practice address
1461 Wirt Rd
Houston, TX 77055-4916
Phone
(832) 317-6665
Fax
(832) 831-9496
NPI assigned
Nov 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 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 8080 TX Primary

Addresses

Primary practice location

1461 Wirt Rd
Houston, TX 77055-4916

Mailing address

1461 Wirt Rd
Houston, TX 77055-4916
Phone (832) 317-6665

Other identifiers 1

IdentifierTypeStateIssuer
3412330MedicaidTX

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
I20141018000081 TX Practitioner - Optometry 8921229865 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Eye Care & Eyewear PLLC Optometrist CurrentSince Jul 4, 2015 Accepting new patients

Locations

1461 Wirt Rd
Houston, TX 77055
Phone (210) 286-9475

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": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1144659509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554916",
            "telephone_number": "832-317-6665",
            "fax_number": "832-831-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1461 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770554916",
            "telephone_number": "832-317-6665",
            "fax_number": "832-831-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO",
        "first_name": "ERICA",
        "name_prefix": "Dr.",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3412330",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.