Individual provider Active NPI

Carmen Lucero Mosqueda, OD

  • Optometrist
  • El Paso, TX
National Provider Identifier
1336625359
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9474 Issued in TX
Practice address
5920 Cromo Dr
El Paso, TX 79912-5526
Phone
(915) 545-2010
NPI assigned
Jul 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 9474 TX
Optometrist 152W00000X 9474 TX Primary

Addresses

Primary practice location

5920 Cromo Dr
El Paso, TX 79912-5526

Mailing address

7527 Hemlock St
Houston, TX 77012-3130
Phone (832) 659-9183

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
I20180803000400 TX Practitioner - Optometry 8628326881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

14079 FM 2920 Rd
Tomball, TX 77377-5546
Phone (281) 500-9606

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9474TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Dec 14, 2020 Accepting new patients
Mann Eye Center, PA Optometrist Current Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

9802 FM 1960 Bypass Rd W
Ste 110
Humble, TX 77338
Phone (281) 446-2514

14079 FM 2920 Rd
#2
Tomball, TX 77377
Phone (281) 500-9606

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1336625359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7527 HEMLOCK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770123130",
            "telephone_number": "832-659-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 CROMO DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125526",
            "telephone_number": "915-545-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSQUEDA",
        "first_name": "CARMEN",
        "middle_name": "LUCERO",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "9474",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.