Organization Active NPI

Optical Reflections PLLC

  • Optometrist
  • Weslaco, TX
National Provider Identifier
1386837904
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2753TG Issued in TX
Legal business name
OPTICAL REFLECTIONS PLLC
Doing business as
Optical Reflections PLLC
Practice address
1506 E 6TH St
Weslaco, TX 78596-6606
Phone
(956) 968-3302
Fax
(956) 968-4403
NPI assigned
Aug 27, 2007
Last updated
Apr 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Authorized official

Name
Dr. Rolando R Rios, ODNPI 1033276944
Title
Optometrist
Phone
(956) 968-3302

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 2753TG TX Primary

Addresses

Primary practice location

1506 E 6TH St
Weslaco, TX 78596-6606

Mailing address

1506 E 6TH St
Weslaco, TX 78596-6606
Phone (956) 968-3302

Other identifiers 3

IdentifierTypeStateIssuer
112431502MedicaidTX
1386837904OtherTXNPI GROUP
112431501MedicaidTX

Other names 1

  • OPTICAL REFLECTIONS PLLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517000693 TX Part B Supplier - Clinic/Group Practice 0749579654 Receives reassigned benefits from 1 practitioner
Practice locations: Weslaco, TX

National Provider Directory

National Provider Directory

Locations

2370 N Expressway
Ste 1238
Brownsville, TX 78521
Phone (956) 541-6324

923 S 77 Sunshine Strip
Harlingen, TX 78550
Phone (956) 428-2103

1506 E 6th St
Weslaco, TX 78596
Phone (956) 968-3302

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1386837904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966606",
            "telephone_number": "956-968-3302",
            "fax_number": "956-968-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 E 6TH ST",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966606",
            "telephone_number": "956-968-3302",
            "fax_number": "956-968-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL REFLECTIONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-27",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "RIOS",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "956-968-3302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2753TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112431502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI GROUP",
            "identifier": "1386837904",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112431501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPTICAL REFLECTIONS PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weslaco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.