Individual provider Active NPI

Rafael Adolfo Garcia, OD

  • Optometrist
  • Burleson, TX
National Provider Identifier
1396303095
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9685TG Issued in TX
Practice address
130 NW John Jones Dr Ste 216a
Burleson, TX 76028-8174
Phone
(817) 295-0100
NPI assigned
May 29, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9685TG TX Primary

Addresses

Primary practice location

130 NW John Jones Dr Ste 216a
Burleson, TX 76028-8174

Mailing address

130 NW John Jones Dr Ste 216a
Burleson, TX 76028-8174
Phone (817) 295-0100

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
I20190625003833 TX Practitioner - Optometry 7911231931 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optometric Associates of Texas P.a.Group PAC ID 8527041326, 14 clinicians

Practice addresses (Care Compare)

485 Cedar Sage Dr
Suite J13
Garland, TX 75040-2950
Phone (972) 530-1064

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9685TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optometric Associates of Texas P.a. Optometrist CurrentSince Jun 17, 2019 Accepting new patients

Locations

130 NW John Jones Dr
Ste 216A
Burleson, TX 76028
Phone (817) 295-0100

305 W FM 1382
Ste 500
Cedar Hill, TX 75104
Phone (972) 293-0373

4800 S Hulen St
Ste 1520
Ft Worth, TX 76132
Phone (817) 292-3977

485 Cedar Sage Dr
Ste J13A
Garland, TX 75040
Phone (972) 530-1064

Organizations & group practices 1

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": "1559088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1396303095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 NW JOHN JONES DR STE 216A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288174",
            "telephone_number": "817-295-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 NW JOHN JONES DR STE 216A",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760288174",
            "telephone_number": "817-295-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "RAFAEL",
        "middle_name": "ADOLFO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-29",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9685TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.