Active NPI
Marcos Calderon., M.D. P.a.
- Eyewear Supplier
- El Paso, TX
National Provider Identifier
1497935647
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 5995
- 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.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0200628-01 | Medicaid | TX |
Other names 1
- FINEST OPTICAL
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.
-
- Ophthalmology Physician
- El Paso, TX
- NPI 1598953473
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.