Organization Active NPI

Caia D. Homerstad OD PLLC

  • Optometrist
  • Victoria, TX
National Provider Identifier
1306269014
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5250TG Issued in TX
Legal business name
CAIA D. HOMERSTAD OD PLLC
Practice address
7508 N Navarro St
Victoria, TX 77904-2654
Phone
(361) 212-4308
Fax
(361) 576-0806
NPI assigned
Jan 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Authorized official

Name
Dr. Caia Dawn Homerstad Williams, ODNPI 1649218355
Title
Optometrist
Phone
(361) 212-4308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5250TG TX Primary

Addresses

Primary practice location

7508 N Navarro St
Victoria, TX 77904-2654

Mailing address

106 Wilshire Dr
Victoria, TX 77904-1854
Phone (361) 582-0283

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140909000036 TX Part B Supplier - Clinic/Group Practice 1951520899 Receives reassigned benefits from 1 practitioner
Practice locations: Victoria, TX

National Provider Directory

National Provider Directory

Locations

7508 N Navarro St
Victoria, TX 77904
Phone (361) 212-4308

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391126400000",
    "number": "1306269014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 WILSHIRE DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779041854",
            "telephone_number": "361-582-0283",
            "fax_number": "361-576-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7508 N NAVARRO ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042654",
            "telephone_number": "361-212-4308",
            "fax_number": "361-576-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAIA D. HOMERSTAD OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A",
        "authorized_official_last_name": "HOMERSTAD WILLIAMS",
        "authorized_official_first_name": "CAIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "361-212-4308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5250TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.