Individual provider Active NPI

Jesus H Rosales, ABOC

  • Optician
  • Brownsville, TX
National Provider Identifier
1184126880
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
004633 Issued in DC
Practice address
2120 E Price Rd Ste B
Brownsville, TX 78521-2401
Phone
(956) 546-3995
Fax
(956) 546-2444
NPI assigned
Mar 8, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 004633 DC Primary

Addresses

Primary practice location

2120 E Price Rd Ste B
Brownsville, TX 78521-2401

Mailing address

2120 E Price Rd Ste B
Brownsville, TX 78521-2401
Phone (956) 546-3995

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

State licenses

LicenseStateTypeSpecialty
004633DCMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Crespin Inc PastSince Jan 22, 2023 Accepting new patients
Rosales & Rosales Inc Past Accepting new patients

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": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1184126880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 E PRICE RD STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212401",
            "telephone_number": "956-546-3995",
            "fax_number": "956-546-2444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E PRICE RD STE B",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212401",
            "telephone_number": "956-546-3995",
            "fax_number": "956-546-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSALES",
        "first_name": "JESUS",
        "middle_name": "H",
        "credential": "ABOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "DC",
            "license": "004633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.