NPIMap

Organization Active NPI

Eastside Eye Associates, P.a.

  • Ophthalmology Physician
  • El Paso, TX
National Provider Identifier
1598082232
Registry record updated Apr 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
N5007 Issued in TX
Legal business name
EASTSIDE EYE ASSOCIATES, P.A.
Practice address
10952 Ben Crenshaw Dr
El Paso, TX 79935-3055
Phone
(915) 592-8090
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2010

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

Authorized official

Name
Dr. Mario A. Caballero, O.D.NPI 1760444293
Title
President
Phone
(915) 592-8090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 4921TG TX
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X N5007 TX Primary

Addresses

Primary practice location

10952 Ben Crenshaw Dr
El Paso, TX 79935-3055

Mailing address

10952 Ben Crenshaw Dr
El Paso, TX 79935-3055
Phone (915) 592-8090

Other names 1

  • Eastside Eye Associates Doing business as

National Provider Directory

National Provider Directory

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": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271721600000",
    "number": "1598082232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10952 BEN CRENSHAW DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353055",
            "telephone_number": "915-592-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10952 BEN CRENSHAW DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799353055",
            "telephone_number": "915-592-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE EYE ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-04-20",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-592-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "4921TG",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N5007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.