Individual provider Active NPI

Cristina Isabel De la Pena, O.D.

  • Optometrist
  • Houston, TX
National Provider Identifier
1396952644
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6209TG Issued in TX
Practice address
10850 Louetta Road
Suite 1000
Houston, TX 77070-3538
Phone
(281) 370-3030
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6209TG TX Primary

Addresses

Primary practice location

10850 Louetta Road
Suite 1000
Houston, TX 77070-3538

Mailing address

10850 Louetta Road
Suite 1000
Houston, TX 77070-3538
Phone (281) 370-3030

Other identifiers 1

IdentifierTypeStateIssuer
6209TGOtherTXLICENSE

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
I20040609000343 TX Practitioner - Optometry 4981687217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Cristina de la Pena, O.D., P.a.Group PAC ID 1254403769, 4 clinicians

Practice addresses (Care Compare)

14330 Vintage Preserve Pkwy
Suite 1000
Houston, TX 77070-3538
Phone (281) 370-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cristina de la Pena, O.D., P.a. Optometrist CurrentSince Apr 11, 2008 Accepting new patients
Preferred Eye Care Professional Corp Optometrist PastSince Mar 11, 2025 Accepting new patients
Preferred Eye Care Optometrist PastSince Apr 29, 2025 Accepting new patients

Locations

14330 Vintage Preserve Pkwy
Ste 1000
Houston, TX 77070
Phone (281) 370-3030

10850 Louetta Rd
Ste 1000
Houston, TX 77070
Phone (281) 370-3030

14330 Vintage Preserve Pkwy
Houston, TX 77070

Organizations & group practices 3

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1396952644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10850 LOUETTA ROAD",
            "address_2": "SUITE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703538",
            "telephone_number": "281-370-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10850 LOUETTA ROAD",
            "address_2": "SUITE 1000",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770703538",
            "telephone_number": "281-370-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PENA",
        "first_name": "CRISTINA",
        "middle_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6209TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6209TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.