Organization Active NPI

Marcos Calderon., M.D. P.a.

  • Eyewear Supplier
  • El Paso, TX
National Provider Identifier
1497935647
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
5995 Issued in TX
Legal business name
MARCOS CALDERON., M.D. P.A.
Practice address
1717 N Brown St Ste 3
El Paso, TX 79902-4730
Phone
(915) 544-0526
Fax
(915) 544-2877
NPI assigned
Nov 5, 2007
Organization subpart
Yes
Parent organization
MARCOS CALDERON., M.D. P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Marcos Calderon, MD
Title
MD
Phone
(915) 544-0526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 5995 TX Primary

Addresses

Primary practice location

1717 N Brown St Ste 3
El Paso, TX 79902-4730

Mailing address

1717 N Brown St Ste 3
El Paso, TX 79902-4730
Phone (915) 544-0526

Other identifiers 1

IdentifierTypeStateIssuer
0200628-01MedicaidTX

Other names 1

  • FINEST OPTICAL Doing business as

National Provider Directory

National Provider Directory
Part of
Marcos Calderon MD PA

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1497935647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N BROWN ST STE 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-544-0526",
            "fax_number": "915-544-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N BROWN ST STE 3",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799024730",
            "telephone_number": "915-544-0526",
            "fax_number": "915-544-2877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCOS CALDERON., M.D. P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARCOS CALDERON., M.D. P.A.",
        "enumeration_date": "2007-11-05",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CALDERON",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "915-544-0526",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "5995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0200628-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FINEST OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.