Individual provider Active NPI

Joshua Jacob Cedillo, O.D.

  • Optometrist
  • Edinburg, TX
National Provider Identifier
1386307403
Registry record updated Oct 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10437T Issued in TX
Practice address
2301 S Business Highway 281
Edinburg, TX 78539-3712
Phone
(956) 383-5581
Fax
(956) 381-1218
NPI assigned
Oct 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10437T TX Primary

Addresses

Primary practice location

2301 S Business Highway 281
Edinburg, TX 78539-3712

Mailing address

1804 Basham Rd
Mission, TX 78573-9889
Phone (956) 222-8972

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
I20220127003081 TX Practitioner - Optometry 2466844212 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10437TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott L Helgeson OD PLLC Optometrist CurrentSince Nov 18, 2024 Accepting new patients
Dr. Luis S. Navarro, PLLC Optometrist CurrentSince Oct 20, 2021 Accepting new patients

Locations

2301 S US Highway 281
Edinburg, TX 78539
Phone (956) 363-1904

2200 S 10th St
Ste B6
McAllen, TX 78503
Phone (956) 682-4428

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": "1634256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634256000000",
    "number": "1386307403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 BASHAM RD",
            "city": "MISSION",
            "state": "TX",
            "postal_code": "785739889",
            "telephone_number": "956-222-8972",
            "fax_number": "956-381-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BUSINESS HIGHWAY 281",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785393712",
            "telephone_number": "956-383-5581",
            "fax_number": "956-381-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDILLO",
        "first_name": "JOSHUA",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-15",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10437T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.