NPIMap

Individual provider Active NPI

Miguel Rodriguez, OD

  • Optometrist
  • New Braunfels, TX
National Provider Identifier
1497419790
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10406 Issued in TX
Practice address
1929 W State Highway 46
New Braunfels, TX 78132-5336
Phone
(703) 847-8899
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Southwest PLLC 234 clinicians

Practice addresses (Care Compare)

1929 W State Hwy 46
Suite 103
New Braunfels, TX 78132-5337
Phone (830) 524-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211115002695 TX Practitioner - Optometry 3971992868 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10406TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Med Southwest, PLLC Optometrist Current Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 15, 2022 Accepting new patients
RCP Eyecare, PC Optometrist CurrentSince Nov 1, 2021 Accepting new patients
Med Southwest, PLLC Optometrist CurrentSince Jul 15, 2022 Accepting new patients
Silver Spring Optometry, LLC Optometrist Past Accepting new patients

Locations

1929 State Highway 46 W
Ste 103
New Braunfels, TX 78132
Phone (830) 524-8870

18030 San Pedro Ave
Ste 250B
San Antonio, TX 78232
Phone (210) 545-3183

22906 US Highway 281 N
Ste 101
San Antonio, TX 78258
Phone (210) 492-7483

255 E Basse Rd
Ste 330
San Antonio, TX 78209
Phone (210) 308-8565

15900 La Cantera Pkwy
Ste 9915
San Antonio, TX 78256
Phone (210) 641-2405

8222 Agora Pkwy
Ste 116
Selma, TX 78154
Phone (210) 577-1490

2703 Richmond Rd
Texarkana, TX 75503
Phone (903) 838-0783

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10406 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

1929 W State Highway 46
New Braunfels, TX 78132-5336

Mailing address

1950 Old Gallows Rd Ste 520
Vienna, VA 22182-3970
Phone (703) 847-8899

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2022.

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1497419790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 W STATE HIGHWAY 46",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325336",
            "telephone_number": "703-847-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.