Individual provider Active NPI

Gabriel Avila, OD

  • Optometrist
  • Abilene, TX
National Provider Identifier
1487730651
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6293TG Issued in TX
Practice address
4734 S 14TH
Abilene, TX 79605-4733
Phone
(325) 692-9596
Fax
(325) 690-6191
NPI assigned
Oct 31, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6293TG TX Primary

Addresses

Primary practice location

4734 S 14TH
Abilene, TX 79605-4733

Mailing address

4734 S 14TH
Abilene, TX 79605-4733
Phone (325) 692-9596

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
I20031229000081 TX Practitioner - Optometry 3870491012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Abilene Advanced Eyecare Inc.Group PAC ID 6002714342, 6 clinicians

Practice addresses (Care Compare)

4749 Buffalo Gap Rd
Abilene, TX 79606-3304
Phone (325) 692-9596

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6293TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Abilene Advanced Eyecare Inc. Optometrist CurrentSince Dec 1, 2003 Accepting new patients

Locations

4734 S 14th St
Abilene, TX 79605
Phone (325) 672-1011

4749 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 267-6040

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1487730651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 S 14TH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054733",
            "telephone_number": "325-692-9596",
            "fax_number": "325-690-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 S 14TH",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054733",
            "telephone_number": "325-692-9596",
            "fax_number": "325-690-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6293TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.