Organization Active NPI

Raymund Garza OD PC

Doing business as Alice Family Eye Center

  • Optometrist
  • Alice, TX
National Provider Identifier
1366646036
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05244TG Issued in TX
Legal business name
RAYMUND GARZA OD PC
Doing business as
Alice Family Eye Center
Practice address
777 N Texas Blvd
Alice, TX 78332-3883
Phone
(361) 668-3937
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Authorized official

Name
Raymund Garza, O.D.NPI 1356423180
Title
Optometrist
Phone
(361) 668-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 05244TG TX Primary

Addresses

Primary practice location

777 N Texas Blvd
Alice, TX 78332-3883

Mailing address

PO Box 1698
Alice, TX 78333-1698
Phone (361) 668-3937

Other names 1

  • ALICE FAMILY EYE CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323001338 TX Part B Supplier - Clinic/Group Practice 0345296257 Receives reassigned benefits from 1 practitioner
Practice locations: Alice, TX

National Provider Directory

National Provider Directory

Locations

113 N Washington St
Beeville, TX 78102
Phone (361) 362-0773

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371772800000",
    "number": "1366646036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1698",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783331698",
            "telephone_number": "361-668-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N TEXAS BLVD",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783323883",
            "telephone_number": "361-668-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMUND GARZA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-06-21",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "RAYMUND",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "361-668-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05244TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALICE FAMILY EYE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alice, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.