Organization Active NPI

Bethel Vision Care, PLLC

  • Optometrist
  • McAllen, TX
National Provider Identifier
1396196531
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4965TG Issued in TX
Legal business name
BETHEL VISION CARE, PLLC
Practice address
8001 N 10TH St Ste 140
McAllen, TX 78504-9490
Phone
(956) 200-2020
Fax
(956) 340-4278
NPI assigned
Jun 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Dr. Yvonne Diaz, ODNPI 1306828041
Title
Optometrist / Owner
Phone
(956) 200-2020

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 4965TG TX Primary

Addresses

Primary practice location

8001 N 10TH St Ste 140
McAllen, TX 78504-9490

Mailing address

8001 N 10TH St Ste 140
McAllen, TX 78504-9490
Phone (956) 200-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320002476 TX Part B Supplier - Clinic/Group Practice 5395020093 Receives reassigned benefits from 1 practitioner
Practice locations: McAllen, TX

National Provider Directory

National Provider Directory

Locations

2205 Ruben Torres SR Blvd
Brownsville, TX 78526
Phone (956) 509-2078

8001 N 10th St
Ste 140
McAllen, TX 78504
Phone (956) 200-2020

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": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1396196531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 N 10TH ST STE 140",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785049490",
            "telephone_number": "956-200-2020",
            "fax_number": "956-340-4278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 N 10TH ST STE 140",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785049490",
            "telephone_number": "956-200-2020",
            "fax_number": "956-340-4278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHEL VISION CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "956-200-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4965TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.