Active NPI
Adrian Andres Velasco
- Optometrist
- Conroe, TX
National Provider Identifier
1366283376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 11152
- Practice address
- 1148 W Dallas St
Conroe, TX 77301-2208 - Phone
- (936) 756-8622
- Fax
- (936) 756-8603
- NPI assigned
- Jun 4, 2024
- 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 | 11152 | TX | Primary |
Addresses
Primary practice location
1148 W Dallas St
Conroe, TX 77301-2208
Mailing address
1148 W Dallas St
Conroe, TX 77301-2208
Phone (936) 756-8622
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TV Oliver Vision PA | Optometrist | Current | Accepting new patients |
| Michael Nell PC | Optometrist | Past | Accepting new patients |
Locations
1148 W Dallas St
Conroe, TX 77301
Phone (936) 202-3465
Organizations & group practices 2
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": "1717459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717459200000",
"number": "1366283376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1148 W DALLAS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773012208",
"telephone_number": "936-756-8622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1148 W DALLAS ST",
"city": "CONROE",
"state": "TX",
"postal_code": "773012208",
"telephone_number": "936-756-8622",
"fax_number": "936-756-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "ADRIAN",
"middle_name": "ANDRES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "11152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.