Individual provider Active NPI

Iliana Marie Rodriguez, OD

  • Optometrist
  • Weslaco, TX
National Provider Identifier
1184558074
Registry record updated Jun 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11710TG Issued in TX
Practice address
415 S Airport Dr Ste H
Weslaco, TX 78596-5396
Phone
(956) 447-2020
NPI assigned
Jun 9, 2026
Last updated
Jun 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11710TG 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

Other practice location 1

801 N Sam Houston Blvd
San Benito, TX 78586-5266
Phone (956) 361-7600

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
I20260626001367 TX Practitioner - Optometry 2860965241

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

415 S Airport Dr
Suite H
Weslaco, TX 78596-5396

608 Bridget St
Weslaco, TX 78596-4206

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
RGV Vision Care LLC Optometrist CurrentSince Jul 1, 2026 Accepting new patients
Jaime Rodriguez OD Optometrist PastSince Jul 1, 2026 Accepting new patients

Locations

801 N Sam Houston Blvd
San Benito, TX 78586
Phone (956) 361-7600

415 S Airport Dr
Ste H
Weslaco, TX 78596
Phone (956) 447-2020

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, 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": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782604800000",
    "number": "1184558074",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 N Sam Houston Blvd",
            "address_purpose": "LOCATION",
            "city": "San Benito",
            "state": "TX",
            "postal_code": "785865266",
            "country_code": "US",
            "telephone_number": "956-361-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ILIANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-28",
        "certification_date": "2026-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11710TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

Sources for this page

Verify at the official NPI Registry.