Douglas Richard Eley, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3778TG Issued in TX

Practice address

9009 Gateway Blvd S
El Paso, TX 79904-1215

Phone

(915) 751-7760

Fax

(915) 751-2376

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tso-Northeast Vision Center, Inc

  • Optometrist
  • El Paso, TX
  • NPI 1114005311
  NPD (past) Authorized official

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1316989031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 GATEWAY BLVD S",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041215",
            "telephone_number": "915-751-7760",
            "fax_number": "915-751-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 GATEWAY BLVD S",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799041215",
            "telephone_number": "915-751-7760",
            "fax_number": "915-751-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELEY",
        "first_name": "DOUGLAS",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3778TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00E4400",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Anne Elder, RN
• Electrostim Medical Services Inc.
• Augustine O Eleje, M.D.
• Ngozi Kathleen Eleje
• Elevated Horizons Mental Health, PLLC
• Tonginique House Eley
• Sherin Elgohary, MD
• Sarah Elguea
• Ahmed Hany Mohamed Tawfik Elhessy, MD
• Samira Elias de Reyna

• Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.