Individual provider Active NPI

Ricky V Alaniz, OD

  • Optometrist
  • Carrizo Springs, TX
National Provider Identifier
1184777401
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5765TG Issued in TX
Practice address
1203 Pena St
Carrizo Springs, TX 78834-3765
Phone
(830) 876-0282
Fax
(830) 876-4191
NPI assigned
Jan 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5765TG TX Primary

Addresses

Primary practice location

1203 Pena St
Carrizo Springs, TX 78834-3765

Mailing address

305 N 5TH St
Carrizo Springs, TX 78834-3105
Phone (830) 876-0282

Other practice location 1

1505 N Saint Marys St Ste B
Beeville, TX 78102-2752
Phone (361) 358-2022

Other identifiers 1

IdentifierTypeStateIssuer
019160301MedicaidTX

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
I20050707000793 TX Practitioner - Optometry 7416993712 Practice locations: Carrizo Springs, TX

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1203 Pena St
Carrizo Springs, TX 78834-3765
Phone (830) 876-0282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5765TGTXMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1184777401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N 5TH ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343105",
            "telephone_number": "830-876-0282",
            "fax_number": "830-876-4191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 PENA ST",
            "city": "CARRIZO SPRINGS",
            "state": "TX",
            "postal_code": "788343765",
            "telephone_number": "830-876-0282",
            "fax_number": "830-876-4191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 N Saint Marys St Ste B",
            "address_purpose": "LOCATION",
            "city": "Beeville",
            "state": "TX",
            "postal_code": "781022752",
            "country_code": "US",
            "telephone_number": "361-358-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALANIZ",
        "first_name": "RICKY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5765TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019160301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrizo Springs, TX

Sources for this page

Verify at the official NPI Registry.