Physicians Eye Clinic of Laredo

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

Q7580 Issued in TX

Legal business name

PHYSICIANS EYE CLINIC OF LAREDO

Practice address

6999 McPherson Rd Ste 216
Laredo, TX 78041-6450

Phone

(956) 401-6615

Fax

(956) 410-5304

NPI assigned

Jul 7, 2017

Organization subpart

No

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

Authorized official

Name

Stephen A McNutt, M.D.NPI 1720305642

Title

President

Phone

(443) 695-3856

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: smcnutt@physicianseyelaredo.intellechartdirect.net

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen Andrew McNutt, M.D.

  • Ophthalmology Physician
  • Laredo, TX
  • NPI 1720305642

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Erin Lewis

  • Family Nurse Practitioner
  • Laredo, TX
  • NPI 1194378760
  Medicare reassignment Care Compare group NPD
• Kristi Ruth Sawall

  • Primary Care Nurse Practitioner
  • Laredo, TX
  • NPI 1326894767
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1255853644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6999 MCPHERSON RD STE 216",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416450",
            "telephone_number": "956-401-6615",
            "fax_number": "956-410-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6999 MCPHERSON RD STE 216",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416450",
            "telephone_number": "956-401-6615",
            "fax_number": "956-410-5304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6999 McPherson Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780416450",
            "country_code": "US",
            "telephone_number": "956-401-6615",
            "fax_number": "956-796-9495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS EYE CLINIC OF LAREDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "443-695-3856",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "Q7580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1720305642",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. MOTA NPI",
            "identifier": "1295311223",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX LICENSE",
            "identifier": "Q7580",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smcnutt@physicianseyelaredo.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6999 McPherson Rd Ste 216",
            "city": "Laredo",
            "state": "TX",
            "country_code": "US",
            "postal_code": "780416450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Peter T. Ngo, MD PA
• Uyen-Nhi Phan
• Phoenix Recovery Solutions LLC
• Physical Medicine Rehab, LLC
• Physical Therapy Specialists of Laredo, PLLC
• Isabel Picazo
• Matthew Francis Pici, LPC
• Arianah Pierce
• Amy Pineda
• Jesus Sergio Pineda, M.D.

• Ophthalmology Physician in Laredo, TX
• Providers in Laredo, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.