Individual provider Active NPI

Ivette Marrero-Perez, OD

  • Optometrist
  • Brownsville, TX
National Provider Identifier
1407864101
Registry record updated Aug 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6848TG Issued in TX
Practice address
847 Ridgewood St
Brownsville, TX 78520-8645
Phone
(956) 541-1013
Fax
(956) 541-5440
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 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 6848TG TX Primary

Addresses

Primary practice location

847 Ridgewood St
Brownsville, TX 78520-8645

Mailing address

847 Ridgewood St
Brownsville, TX 78520-8645
Phone (956) 541-1013

Other identifiers 1

IdentifierTypeStateIssuer
182564802MedicaidTX

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
I20060905000505 TX Practitioner - Optometry 1052315025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Texas Eye Centers PAGroup PAC ID 1456363365, 5 clinicians

Practice addresses (Care Compare)

2969 Southmost Rd a
Brownsville, TX 78521-3887
Phone (956) 544-0201

847 Ridgewood St
Brownsville, TX 78520-8645
Phone (956) 541-1013

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6848TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
South Texas Eye Centers PA Optometrist CurrentSince Jun 15, 2009 Accepting new patients
South Texas Eye Centers PA Past Accepting new patients

Locations

2969 Southmost Rd
Ste A
Brownsville, TX 78521
Phone (956) 544-0201

847 Ridgewood St
Brownsville, TX 78520
Phone (956) 541-1013

Interoperability endpoints

  • Direct secure messaging: ivettemarreroperez@stec.direct.eyemdemr.com

Organizations & group practices 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1407864101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 RIDGEWOOD ST",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208645",
            "telephone_number": "956-541-1013",
            "fax_number": "956-541-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO-PEREZ",
        "first_name": "IVETTE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6848TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182564802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownsville, TX

Sources for this page

Verify at the official NPI Registry.