Janet Marie Pena, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6558T Issued in TX

Practice address

1253 US Highway 181
Portland, TX 78374-1721

Phone

(361) 643-1516

Fax

(361) 643-7479

NPI assigned

Jul 7, 2006

Last updated

Aug 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jpod LLC

  • Optometrist
  • Corpus Christi, TX
  • NPI 1457872566
  Authorized official Same address or phone
• Tso Portland PLLC

  dba TSO Portland

  • Optometrist
  • Portland, TX
  • NPI 1245811850
  NPD

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1417989799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 GRAND LAKE DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784135268",
            "telephone_number": "361-658-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 US HIGHWAY 181",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741721",
            "telephone_number": "361-643-1516",
            "fax_number": "361-643-7479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6558T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0033FF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170814101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Ortiz, COTA
• Kelvin Park, PHARMD
• Brenna Marie Parker, MD
• Monica Passmore
• Hinal Patel
• Peninsula Physical Therapy LP (Portland Physical Therapy Specialists)
• Elva Linda Pereida, BSN, RN, CPN
• Linda Ramos Perez
• Persad, Inc. (Semper Fi Provider Care)
• Linda Marie Peterson, CRNA

• Optometrist in Portland, TX
• Providers in Portland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.