Organization Active NPI

RGV Optical Images LLC

  • Eyewear Supplier
  • San Antonio, TX
National Provider Identifier
1508668443
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
RGV OPTICAL IMAGES LLC
Practice address
14855 Blanco Rd Ste 210
San Antonio, TX 78216-7729
Phone
(956) 423-2800
Fax
(956) 423-2888
NPI assigned
Mar 24, 2025
Organization subpart
Yes
Parent organization
RGV OPTICAL IMAGES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Carmen Escobedo
Title
Optical Director
Phone
(956) 423-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

14855 Blanco Rd Ste 210
San Antonio, TX 78216-7729

Mailing address

PO Box 4830
Edinburg, TX 78540-4830
Phone (956) 423-2800

Other practice location 1

1205 N Ed Carey Dr
Harlingen, TX 78550-9207
Phone (956) 423-2800 ext. 1238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251103001511 TX DME Supplier - Physician - OphthalmologyDME Supplier - Optician 7416152947 Practice locations: San Antonio, TX

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
RGV Optical Images LLC14855 Blanco Rd, San Antonio, TX 78216-7729(210) 479-0900 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since Apr 6, 2007

National Provider Directory

National Provider Directory
Tax ID family
RGV Optical Images LLC8 organizations share this tax ID, including this one
Part of
RGV Optical Images LLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1205 N Ed Carey Dr
Ste 2
Harlingen, TX 78550
Phone (956) 423-2100

1000 E Expressway 83
Ste 3
La Joya, TX 78560
Phone (956) 583-2020

1006 E Hillside Rd
Laredo, TX 78041
Phone 95642321001251

14855 Blanco Rd
Ste 210
San Antonio, TX 78216
Phone (210) 479-0900

1331 E 6th St
Weslaco, TX 78596
Phone (956) 968-8502

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1508668443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4830",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785404830",
            "telephone_number": "956-423-2800",
            "fax_number": "956-423-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD STE 210",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167729",
            "telephone_number": "956-423-2800",
            "fax_number": "956-423-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1205 N Ed Carey Dr",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785509207",
            "country_code": "US",
            "telephone_number": "956-423-2800 x1238",
            "fax_number": "956-423-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RGV OPTICAL IMAGES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RGV OPTICAL IMAGES LLC",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "ESCOBEDO",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "OPTICAL DIRECTOR",
        "authorized_official_telephone_number": "956-423-2800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.