Active NPI
Obed Eduardo Perez de la Pena, O.D
- Optometrist
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC6011
- Practice address
- 4631 S Hulen St
Fort Worth, TX 76132-1401 - Phone
- (817) 346-7077
- Fax
- (817) 346-6998
- NPI assigned
- Oct 11, 2021
- Last updated
- Apr 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPC6011 | FL | Primary |
Addresses
Primary practice location
4631 S Hulen St
Fort Worth, TX 76132-1401
Mailing address
4631 S Hulen St
Fort Worth, TX 76132-1401
Phone (817) 346-7077
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | opena@araneye.com | Direct | Aran Eye Associates PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- International American University at Puerto Rico - School of Optometry, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3017 W 7TH St
Suite 210
Fort Worth, TX 76107-2223
Phone (817) 348-9090
3105 E Southlake Boulevard
Southlake, TX 76092-8051
Phone (817) 310-3989
4631 S Hulen St
Fort Worth, TX 76132-1401
Phone (817) 346-7077
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3785 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antioch Eye Care Center, Physician & Surgeon, PLLC | Optometrist | Current | Accepting new patients |
| The Eye Group of Texas LLC | Optometrist | Current | Accepting new patients |
| Eyeworks at West 7TH | Optometrist | Current | Accepting new patients |
| DRCS Group, Inc. | Optometrist | Current | Accepting new patients |
| Stanley D Braverman MD LLC | Optometrist | Past | Accepting new patients |
| 7TH Street Eyeworks, Inc. | Optometrist | Past | Accepting new patients |
Locations
554 Bell Rd
Antioch, TN 37013
Phone (615) 361-7266
500 Burkitt Commons Ave
Nolensville, TN 37135
Phone (615) 709-2700
3017 W 7th St
Ste 210
Fort Worth, TX 76107
Phone (817) 346-7077
4631 S Hulen St
Ft Worth, TX 76132
Phone (817) 346-7077
3105 E Southlake Blvd
Southlake, TX 76092
Phone (817) 310-3989
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Fort Worth, TX
- NPI 1770025892
-
- Optometrist
- Southlake, TX
- NPI 1720026719
-
dba Eye Care Center of TN
- Ophthalmology Physician
- Antioch, TN
- NPI 1629477831
Optometrist
-
- Optometrist
- Fort Worth, TX
- NPI 1730314741
-
dba Braverman Eye Center
- Ophthalmology Physician
- Hollywood, FL
- NPI 1265586127
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1356003966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321401",
"telephone_number": "817-346-7077",
"fax_number": "817-346-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 S HULEN ST",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761321401",
"telephone_number": "817-346-7077",
"fax_number": "817-346-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ DE LA PENA",
"first_name": "OBED",
"middle_name": "EDUARDO",
"credential": "O.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-11",
"last_updated": "2025-04-24",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC6011",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "opena@araneye.com",
"affiliation": "Y",
"endpointDescription": "opena@araneye.com",
"affiliationName": "Aran Eye Associates PA",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1097 S Le Jeune Rd",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331342639",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.