Active NPI
Mary Alsup, O.D.
- Optometrist
- Corpus Christi, TX
National Provider Identifier
1558700161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8201-T
- Practice address
- 6101 Saratoga Blvd
Corpus Christi, TX 78414-2470 - Phone
- (361) 929-5319
- Fax
- (844) 272-9788
- NPI assigned
- Jun 17, 2013
- Last updated
- Nov 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8201-T | TX | Primary |
Addresses
Primary practice location
6101 Saratoga Blvd
Corpus Christi, TX 78414-2470
Mailing address
PO Box 6362
Corpus Christi, TX 78466-6362
Phone (361) 929-5319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4259723 | Medicaid | TX |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6101 Saratoga Blvd
Corpus Christi, TX 78414-2470
Phone (361) 929-5319
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8201-T | TX | MD | Optometrist |
Organizations & group practices 1
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.
-
- Optometrist
- Corpus Christi, TX
- NPI 1932563228
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1558700161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6362",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784666362",
"telephone_number": "361-929-5319",
"fax_number": "844-272-9788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6101 SARATOGA BLVD",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784142470",
"telephone_number": "361-929-5319",
"fax_number": "844-272-9788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALSUP",
"first_name": "MARY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "8201-T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4259723",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.