Individual provider Active NPI

Luis Carlos Marquez, OD

  • Optometrist
  • Del Rio, TX
National Provider Identifier
1275608978
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5422TG Issued in TX
Practice address
901 Bedell Avenue
Suite E
Del Rio, TX 78840-4170
Phone
(830) 775-2020
Fax
(830) 775-4868
NPI assigned
Nov 21, 2006
Last updated
Mar 7, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5422TG TX Primary

Addresses

Primary practice location

901 Bedell Avenue
Suite E
Del Rio, TX 78840-4170

Mailing address

4400 Fredericksburg Rd
Ste 107
San Antonio, TX 78201-1969
Phone (210) 737-1926

Other identifiers 1

IdentifierTypeStateIssuer
038371301MedicaidTX

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
I20170222000756 TX Practitioner - Optometry 9335440569 Reassigns benefits to 3 organizations

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
Group practices
RCP Eyecare, PCGroup PAC ID 9234474172, 13 clinicians

Practice addresses (Care Compare)

18030 N US Hwy 281
Suite 250B
San Antonio, TX 78232-1416
Phone (210) 545-3183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5422TXMDChiropractor
5422TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 1, 2021 Accepting new patients
RCP Eyecare, PC Optometrist CurrentSince Jul 8, 2025 Accepting new patients
Fox and Sheppard, P.a. Optometrist CurrentSince Feb 13, 2017 Accepting new patients
Janet B Ogletree OD PA Optometrist PastSince Nov 1, 2016 Accepting new patients
Uvalde Optometrists PC Optometrist PastSince Sep 30, 2015 Accepting new patients
JSK Eyecare Optometrist PastSince Mar 1, 2020 Accepting new patients

Locations

111 E 4th St
Ste 440
Alton, IL 62002

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

4400 Fredericksburg Rd
Ste 107
San Antonio, TX 78201
Phone (210) 737-1926

9218 Potranco Rd
Ste 105
San Antonio, TX 78251
Phone (210) 858-4001

Organizations & group practices 6

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1275608978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 FREDERICKSBURG RD",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782011969",
            "telephone_number": "210-737-1926",
            "fax_number": "210-737-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 BEDELL AVENUE",
            "address_2": "SUITE E",
            "city": "DEL RIO",
            "state": "TX",
            "postal_code": "788404170",
            "telephone_number": "830-775-2020",
            "fax_number": "830-775-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ",
        "first_name": "LUIS",
        "middle_name": "CARLOS",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5422TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038371301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Del Rio, TX

Sources for this page

Verify at the official NPI Registry.