Enedelia Barrera, O.D.
Individual provider Active NPI Optometrist · Pharr, TX
NPI 1508941683 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508941683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 5532T (TX)
- Practice address
- 900 W Sam Houston St Ste 5
Pharr, TX 78577-5215 - Phone
- (956) 781-3300
- Fax
- (956) 781-8808
- NPI assigned
- Oct 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Vision Care PA
Practice addresses (Care Compare)
900 W Sam Houston Ave
Suite 5
Pharr, TX 78577-5215
Phone (956) 781-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100914000440 | TX | Practitioner - Optometry | 1658420138 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5532T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision Care PA | Optometrist | Current |
Accepting new patients |
| Family Vision Care, PA | Optometrist | Current |
Accepting new patients |
Locations
207 W Palma Vista Dr
Ste I
Palmview, TX 78572
Phone (956) 519-3350
900 W Sam Houston Blvd
Ste 5
Pharr, TX 78577
Phone (956) 781-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5532T | TX | Yes |
Addresses
Primary practice location
900 W Sam Houston St Ste 5
Pharr, TX 78577-5215
Mailing address
900 W Sam Houston St Ste 5
Pharr, TX 78577-5215
Phone (956) 781-3300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0384927-01 | Medicaid | TX |
Other names
- Enedelia Riojas
Other providers in Pharr, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.