Individual provider Active NPI

Santiago Sergio Garcia, DO

  • Contact Lens Fitter
  • Laredo, TX
National Provider Identifier
1396283545
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Contact Lens FitterTaxonomy code 156FC0801X
License
224771 Issued in TX
Practice address
220 W Hillside Rd
Suite 9
Laredo, TX 78041-6903
Phone
(956) 724-5656
Fax
(956) 726-3093
NPI assigned
Feb 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contact Lens Fitter 156FC0801X 224771 TX Primary

Addresses

Primary practice location

220 W Hillside Rd
Suite 9
Laredo, TX 78041-6903

Mailing address

220 W Hillside Rd
Suite 9
Laredo, TX 78041-6903
Phone (956) 724-5656

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
224771TXMDContact Lens Fitter

NPI Registry JSON

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1396283545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "SUITE 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-724-5656",
            "fax_number": "956-726-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W HILLSIDE RD",
            "address_2": "SUITE 9",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780416903",
            "telephone_number": "956-724-5656",
            "fax_number": "956-726-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "SANTIAGO",
        "middle_name": "SERGIO",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FC0801X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": "TX",
            "license": "224771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.