Individual provider Active NPI

David Isaac Caceres, OD

  • Optometrist
  • Arlington, TX
National Provider Identifier
1497277792
Registry record updated Jul 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9189T Issued in TX
Practice address
4101 S Cooper St
Arlington, TX 76015-4159
Phone
(817) 472-0001
NPI assigned
Jul 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9189T TX Primary

Addresses

Primary practice location

4101 S Cooper St
Arlington, TX 76015-4159

Mailing address

4101 S Cooper St Ste 107
Arlington, TX 76015-4142
Phone (817) 472-0001

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
I20200102001345 TX Practitioner - Optometry 3577997394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

7410 Remcon Cir
Suite K
El Paso, TX 79912-3500
Phone (915) 587-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9189TXMDAddiction (Substance Use Disorder) Counselor
9189TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Texas Professional PLLC Optometrist CurrentSince Dec 3, 2021 Accepting new patients
Doctors Goff & Falknor PA Optometrist CurrentSince Mar 9, 2026 Accepting new patients
America'S Best Contacts & Eyeglasses Past Accepting new patients

Locations

7410 Remcon Cir
Ste K
El Paso, TX 79912
Phone (915) 587-9400

1325 George Dieter Dr
Ste I2
El Paso, TX 79936
Phone (915) 587-9400

8894 Gateway Blvd E
El Paso, TX 79907
Phone (915) 745-7960

6901 Helen of Troy
Ste E1
El Paso, TX 79911
Phone (915) 351-0302

Organizations & group practices 3

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": "1499558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499558400000",
    "number": "1497277792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 S COOPER ST STE 107",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154142",
            "telephone_number": "817-472-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S COOPER ST",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154159",
            "telephone_number": "817-472-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "DAVID",
        "middle_name": "ISAAC",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-09",
        "last_updated": "2017-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9189T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.