Active NPI
RGV Vision Care LLC
- Optometrist
- Weslaco, TX
National Provider Identifier
1154813129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5749
- Legal business name
- RGV VISION CARE LLC
- Practice address
- 415 S Airport Dr Ste H
Weslaco, TX 78596-5396 - Phone
- (956) 447-2020
- Fax
- (956) 969-0459
- NPI assigned
- Jun 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaime Roderiguez, OD
- Title
- Owner
- Phone
- (956) 447-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5749 | TX | Primary |
Addresses
Primary practice location
415 S Airport Dr Ste H
Weslaco, TX 78596-5396
Mailing address
415 S Airport Dr Ste H
Weslaco, TX 78596-5396
Phone (956) 447-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180628000865 | TX | Part B Supplier - Clinic/Group Practice | 6507112885 |
Receives reassigned benefits from 2 practitioners Practice locations: San Benito, TX; Weslaco, TX |
National Provider Directory
National Provider DirectoryLocations
801 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 361-7600
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Corpus Christi, TX
- NPI 1174750046
-
- Optometrist
- Weslaco, TX
- NPI 1003820168
-
- Optometrist
- Weslaco, TX
- NPI 1366363822
-
- Optometrist
- Weslaco, TX
- NPI 1184558074
-
- Optometrist
- Donna, TX
- NPI 1902107279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1528156800000",
"number": "1154813129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 S AIRPORT DR STE H",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965396",
"telephone_number": "956-447-2020",
"fax_number": "956-969-0459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 S AIRPORT DR STE H",
"city": "WESLACO",
"state": "TX",
"postal_code": "785965396",
"telephone_number": "956-447-2020",
"fax_number": "956-969-0459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RGV VISION CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-05",
"last_updated": "2018-06-05",
"status": "A",
"authorized_official_last_name": "RODERIGUEZ",
"authorized_official_first_name": "JAIME",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-447-2020",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "5749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weslaco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.