Los Fresnos Eye Clinic & Optical Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6913TG Issued in TX

Legal business name

LOS FRESNOS EYE CLINIC & OPTICAL INC.

Practice address

810 W Ocean Blvd Ste C2
Los Fresnos, TX 78566-3644

Phone

(956) 233-5252

Fax

(956) 233-6430

NPI assigned

Feb 4, 2008

Last updated

Feb 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Vasquez, ODNPI 1194746834

Title

Owner

Phone

(956) 233-5252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antonio Vasquez, OD

  • Optometrist
  • Los Fresnos, TX
  • NPI 1194746834
  Medicare reassignment NPD Authorized official
• Keith L Tully, OD

  • Optometrist
  • Los Fresnos, TX
  • NPI 1033591821
  Medicare reassignment NPD
• Osazuwa John Okundaye, O.D.

  • Optometrist
  • Brownsville, TX
  • NPI 1457563322
  NPD (past)

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1215115118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 W OCEAN BLVD STE C2",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663644",
            "telephone_number": "956-233-5252",
            "fax_number": "956-233-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W OCEAN BLVD STE C2",
            "city": "LOS FRESNOS",
            "state": "TX",
            "postal_code": "785663644",
            "telephone_number": "956-233-5252",
            "fax_number": "956-233-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOS FRESNOS EYE CLINIC & OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-233-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6913TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Little Lighthouse Childrens Rehab
• Ivania Vianey Longoria Dorado
• Shaidy Lopez, OTR
• Los Fresnos Ambulance Service, Inc
• Los Fresnos Cisd
• Los Fresnos Family Dentistry
• Los Fresnos Image Center LLC
• Los Fresnos Physical Therapy and Rehab
• Lovely Angels Home Health Care, LLC
• Peter Emilio Maldonado, PA-C

• Optometrist in Los Fresnos, TX
• Providers in Los Fresnos, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.

Verify at the official NPI Registry.