Individual provider Active NPI

Marcus Daniel Hinojosa, O.D.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1184642191
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5406TG Issued in TX
Practice address
5701 Springfield Ave
Laredo, TX 78041-3282
Phone
(956) 791-0080
Fax
(956) 791-4108
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5406TG TX Primary

Addresses

Primary practice location

5701 Springfield Ave
Laredo, TX 78041-3282

Mailing address

2204 Musser St
Laredo, TX 78043-2360
Phone (956) 727-1843

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
I20110418000598 TX Practitioner - Optometry 0840474797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5707 Springfield Ave
Laredo, TX 78041-3282
Phone (956) 791-0080

590 E Main St D
Eagle Pass, TX 78852-4773
Phone (956) 791-0080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5406TXMDBehavioral Analyst
5406TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Optometrist PC Optometrist CurrentSince May 1, 1997 Accepting new patients

Locations

590 E Main St
Ste D
Eagle Pass, TX 78852
Phone (830) 325-6856

5701 Springfield Ave
Laredo, TX 78041
Phone (956) 415-1125

5707 Springfield Ave
Laredo, TX 78041
Phone (956) 791-0080

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184642191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 MUSSER ST",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780432360",
            "telephone_number": "956-727-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SPRINGFIELD AVE",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780413282",
            "telephone_number": "956-791-0080",
            "fax_number": "956-791-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINOJOSA",
        "first_name": "MARCUS",
        "middle_name": "DANIEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5406TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.