Individual provider Active NPI

Manuel J Debesa, O.D.

  • Optometrist
  • Granbury, TX
National Provider Identifier
1346354230
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3933T Issued in TX
Practice address
4000 E US Highway 377
Granbury, TX 76049-7432
Phone
(817) 573-7153
Fax
(817) 573-5640
NPI assigned
Aug 18, 2006
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3933T TX Primary

Addresses

Primary practice location

4000 E US Highway 377
Granbury, TX 76049-7432

Mailing address

403 W Oak St
Weatherford, TX 76086-4241
Phone (817) 594-0919

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Manuel.Debesa@direct.revolutionehr.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 E US Hwy 377
Granbury, TX 76049-7432

Merit-based Incentive Payment System (MIPS)

Final score
85.75 of 100Reported as group
Quality
71.49
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3933TTXMDOptometrist

Interoperability endpoints

  • Direct secure messaging: manuel.debesa@direct.revolutionehr.com

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1346354230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W OAK ST",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760864241",
            "telephone_number": "817-594-0919",
            "fax_number": "817-594-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E US HIGHWAY 377",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497432",
            "telephone_number": "817-573-7153",
            "fax_number": "817-573-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBESA",
        "first_name": "MANUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3933T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Manuel.Debesa@direct.revolutionehr.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4000 E US Highway 377",
            "city": "Granbury",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760497432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

Verify at the official NPI Registry.