In Focus Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

6912TG Issued in TX

Legal business name

IN FOCUS EYECARE

Practice address

12215 Toepperwein Rd Ste 200
Live Oak, TX 78233-3150

Phone

(210) 590-3333

NPI assigned

May 13, 2008

Last updated

Sep 6, 2024By 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. Mano Greg Valderaz, O.D.NPI 1487780573

Title

President

Phone

(210) 590-3333

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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.

• Mano Greg Valderaz, O.D.

  • Optometrist
  • Live Oak, TX
  • NPI 1487780573
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1285801761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11465 TOEPPERWEIN RD",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333138",
            "telephone_number": "210-590-3333",
            "fax_number": "210-590-3142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12215 TOEPPERWEIN RD STE 200",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333150",
            "telephone_number": "210-590-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FOCUS EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "VALDERAZ",
        "authorized_official_first_name": "MANO",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "210-590-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6912TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Live Oak, TX
• Providers in Live Oak, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.