Individual provider Active NPI

Guadalupe Alejandra Flores, O.D.

  • Optometrist
  • Edinburg, TX
National Provider Identifier
1528056124
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5833TG Issued in TX
Practice address
3804 S Jackson Rd Ste 4
Edinburg, TX 78539-6683
Phone
(956) 296-3061
Fax
(956) 296-3060
NPI assigned
Oct 10, 2005
Last updated
Jun 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5833TG TX Primary
Corneal and Contact Management Optometrist 152WC0802X 5833TG TX

Addresses

Primary practice location

3804 S Jackson Rd Ste 4
Edinburg, TX 78539-6683

Mailing address

PO Box 531968
Harlingen, TX 78553-1968
Phone (833) 887-4863

Other identifiers 2

IdentifierTypeStateIssuer
6F9002OtherTXMEDICARE
1528056124MedicaidTX

Other names 1

  • Dr. Guadalupe Alejandra Saminathan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120711000376 TX Practitioner - Optometry 0840455176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3804 S Jackson Rd
4 Ut Health RGV Vision Center (Jackso
Edinburg, TX 78539-6682
Phone (956) 296-3061

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5833TGTXMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ohora Eye Care Center Inc Optometrist CurrentSince Jun 1, 2020 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince Feb 1, 2024 Accepting new patients
The University of Texas Rio Grande Valley Optometrist CurrentSince Feb 1, 2024 Accepting new patients
Ohora Eye Care Center Inc PastSince Jun 1, 2020 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients
DJMJ PLLC Optometrist PastSince Apr 5, 2009 Accepting new patients
Lora N Martinez Optometrist Past Accepting new patients

Locations

602 S State St
Clarks Summit, PA 18411
Phone (570) 586-2020

1402 Washburn St
Scranton, PA 18504
Phone (570) 343-2591

3804 S Jackson Rd
Ste 4
Edinburg, TX 78539
Phone (956) 296-3060

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Interoperability endpoints

  • Direct secure messaging: gflores68097@direct.utmb.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1528056124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531968",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785531968",
            "telephone_number": "833-887-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 S JACKSON RD STE 4",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396683",
            "telephone_number": "956-296-3061",
            "fax_number": "956-296-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES",
        "first_name": "GUADALUPE",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5833TG",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "5833TG",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6F9002",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528056124",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GUADALUPE",
            "last_name": "SAMINATHAN",
            "middle_name": "ALEJANDRA",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.