South Texas Eye Consultants, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

SOUTH TEXAS EYE CONSULTANTS, PLLC

Practice address

5402 S. Staples
Suite 100
Corpus Christi, TX 78411-4656

Phone

(361) 992-9400

Fax

(361) 992-8295

NPI assigned

Nov 20, 2006

Last updated

Feb 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Russell Dietze, M.D.NPI 1417938713

Title

Owner

Phone

(361) 992-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• South Texas Eye Consultants Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Eye Care Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• South Texas Eye Consultants

  dba Eye Care Optical

  • Eyewear Supplier
  • Corpus Christi, TX
  • NPI 1134143688
  NPD tax ID
• South Texas Eye Consultants

  dba Eye Care Optical

  • Eyewear Supplier
  • Corpus Christi, TX
  • NPI 1508886318
  NPD tax ID

Locations

Practitioners 4

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.

• Thomas Russell Dietze, M.D.

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1417938713
  Medicare reassignment Care Compare group NPD Authorized official
• Richard Avila Jr., O.D.

  • Optometrist
  • Corpus Christi, TX
  • NPI 1043292295
  Medicare reassignment Care Compare group NPD
• Angel Saenz Jr., M.D.

  • Ophthalmology Physician
  • Corpus Christi, TX
  • NPI 1285616581
  NPD (past)
• Veronica Marie Carrero, O.D.

  • Optometrist
  • Pembroke Pines, FL
  • NPI 1164688073
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1396819769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5402 S. STAPLES",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114656",
            "telephone_number": "361-992-9400",
            "fax_number": "361-992-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5402 S. STAPLES",
            "address_2": "SUITE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784114656",
            "telephone_number": "361-992-9400",
            "fax_number": "361-992-8295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TEXAS EYE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "DIETZE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-992-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084894701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Texas Eye Consultants",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• South Texas Dermatology PLLC (South Texas Dermatology)
• South Texas Emergency Physicians, PLLP
• South Texas Endocrinology & Metabolism Center, PLLC
• South Texas Eye Consultants (Eye Care Optical)
• South Texas Eye Consultants (Eye Care Optical)
• South Texas Family Connections
• South Texas Family Planning & Health Corporation
• South Texas Family Planning & Health Corporation
• South Texas Family Planning & Health Corporation (Family Planning Clinic - Corpus Christi)
• South Texas Family Planning & Health Corporation

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; 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.