Emiko Vasquez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

100096T Issued in TX

Practice address

10601 Pecan Park Blvd Ste 201
Austin, TX 78750-1325

Phone

(512) 402-6136

NPI assigned

May 6, 2020

Last updated

Aug 17, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

Southern California College of Optometry, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Krok and Shen Optometrists IncGroup PAC ID 5496030686, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Krok and Shen Optometrists Inc

  dba eyeQ optometry

  • Optometrist
  • Santa Cruz, CA
  • NPI 1891999660
  Medicare reassignment Care Compare group NPD
• Carole L. Hong OD Inc.

  • Optometrist
  • San Carlos, CA
  • NPI 1952847352
  Medicare reassignment NPD

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

{
    "created_epoch": "1588723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1578184040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19090 RAVENSWOOD CT",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379040",
            "telephone_number": "510-896-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 PECAN PARK BLVD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787501325",
            "telephone_number": "512-402-6136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6836 Bee Caves Rd # 100",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787465059",
            "country_code": "US",
            "telephone_number": "512-614-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "EMIKO",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-06",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT34555TLG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "100096T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciria Vasquez
• Cristina Maria Vasquez, LPC-A
• Damaris Vasquez, DNP, AGACNP, FNP
• Daniela E Vasquez
• Eliza Shawnee Vasquez, LPC
• Jennifer Alissa Vasquez, PHD, LCSW-S
• Laura Lynn Vasquez
• Maranda Marie Vasquez, MA, LPC
• Marisa F Vasquez, RBT,BA
• Melba J Vasquez, PHD

• Optometrist in Austin, TX
• Providers in Austin, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.

Verify at the official NPI Registry.