Organization Active NPI

MQZ, Inc

  • Optometrist
  • Brownsville, TX
National Provider Identifier
1396073300
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6901 TG Issued in TX
Legal business name
MQZ, INC
Practice address
3001 Pablo Kisel Blvd
Suite E
Brownsville, TX 78526-4278
Phone
(956) 793-2160
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

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

Authorized official

Name
Dr. Edward Anthony Marquez, O.DNPI 1780789321
Title
President
Phone
(956) 793-2160

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 6901 TG TX Primary
Low Vision Rehabilitation OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152WL0500X 6901 TG TX

Addresses

Primary practice location

3001 Pablo Kisel Blvd
Suite E
Brownsville, TX 78526-4278

Mailing address

3001 Pablo Kisel Blvd Ste E
Brownsville, TX 78526-4280
Phone (956) 640-5404

Other names 1

  • Optic Trend Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091223000425 TX Part B Supplier - Clinic/Group Practice 8729128723 Receives reassigned benefits from 1 practitioner
Practice locations: Brownsville, TX

National Provider Directory

National Provider Directory

Locations

3001 Pablo Kisel Blvd
Ste E
Brownsville, TX 78526
Phone (956) 621-3311

Practitioners & affiliated clinicians

Practitioners 1

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": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1396073300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 PABLO KISEL BLVD STE E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264280",
            "telephone_number": "956-640-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 PABLO KISEL BLVD",
            "address_2": "SUITE E",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785264278",
            "telephone_number": "956-793-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MQZ, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-793-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6901 TG",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "TX",
            "license": "6901 TG",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optic Trend",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optic Trend",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brownsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.