Craig T Hentzel, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

05067TG Issued in TX

Practice address

5001 N Piedras St
VA Clinic
El Paso, TX 79930-4210

Phone

(915) 564-6195

Fax

(915) 564-7940

NPI assigned

Jan 26, 2006

Last updated

Apr 21, 2009By the provider in NPPES

Sex

Male

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 1

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Visione 360 PAGroup PAC ID 8123175650, 3 clinicians

Practice addresses (Care Compare)

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.

• Visione 360 PA

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1184866808
  Medicare reassignment Care Compare group NPD
• Total Care PLLC

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1487285656

  Optometrist

  Medicare reassignment NPD
• Veritas Speciality Healthcare PLLC

  • Ophthalmology Physician
  • El Paso, TX
  • NPI 1144131434
  NPD (past)
• Real Optics Inc

  dba Vogue Vision in Ames

  • Eyewear Supplier
  • Ames, IA
  • NPI 1699983403
  NPD (past)
• Real Optics Inc

  dba Eyemart Optical at South

  • Eyewear Supplier
  • Des Moines, IA
  • NPI 1952510703
  NPD (past)

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240272000000",
    "number": "1477523850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 N PIEDRAS ST",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799304210",
            "telephone_number": "915-564-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 N PIEDRAS ST",
            "address_2": "VA CLINIC",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799304210",
            "telephone_number": "915-564-6195",
            "fax_number": "915-564-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTZEL",
        "first_name": "CRAIG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2009-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05067TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120568405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Costa, MD, PA
• Henry F. Garcia, M.D., P.a.
• Amanda Rae Henry, LPC-A
• Jacqueline Teresa Henry, SLPA
• Amy Latonia Hensley, L.M.T
• Her Health OB/GYN & Fertility Clinic PA
• Her Pantry
• Robert Herberger
• Herbert J. Nassour, M. D., P.a.
• Yvonne Heredia-Koster, ATC

• Optometrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.