Organization Active NPI

Corpus Christi Eye Associates PLLC

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1447259155
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CORPUS CHRISTI EYE ASSOCIATES PLLC
Practice address
3301 S Alameda St
Suite 403
Corpus Christi, TX 78411-1882
Phone
(361) 853-7319
Fax
(361) 853-1641
NPI assigned
Jul 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Patrick P Avet, M.D.NPI 1649283615
Title
Vice President
Phone
(361) 853-7319

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X TX Primary

Addresses

Primary practice location

3301 S Alameda St
Suite 403
Corpus Christi, TX 78411-1882

Mailing address

3301 S Alameda St
Suite 403
Corpus Christi, TX 78411-1882
Phone (361) 853-7319

Other identifiers 6

IdentifierTypeStateIssuer
P088242J6MedicaidTX
Z00002856MedicaidTX
079603901OtherTXMEDICAID TPI
8BB570OtherTXBCBS OF TEXAS
60CPOtherTXBCBS
80341SOtherTXBCBS OF TX

Other names 1

  • Eye Associates of Corpus Christi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080819000656 TX Part B Supplier - Clinic/Group Practice 1557436912 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory
Tax ID family
Corpus Christi Eye Associates PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1447259155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 403",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-853-7319",
            "fax_number": "361-853-1641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S ALAMEDA ST",
            "address_2": "SUITE 403",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784111882",
            "telephone_number": "361-853-7319",
            "fax_number": "361-853-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI EYE ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AVET",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "361-853-7319",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P088242J6",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z00002856",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI",
            "identifier": "079603901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "8BB570",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "60CP",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "80341S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Associates of Corpus Christi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.