Organization Active NPI

El Paso Optical, P.C.

  • Optometrist
  • El Paso, TX
National Provider Identifier
1609134949
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EL PASO OPTICAL, P.C.
Practice address
4724 Montana Ave
El Paso, TX 79903-4811
Phone
(915) 566-8693
Fax
(915) 566-9229
NPI assigned
Apr 24, 2012
Last updated
May 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Dr. David J Baptiste, ODNPI 1184801268
Title
President
Phone
(915) 566-8693

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
Optometrist 152W00000X 7693TG TX
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

4724 Montana Ave
El Paso, TX 79903-4811

Mailing address

4724 Montana Ave
El Paso, TX 79903-4811
Phone (915) 566-8693

Other practice location 1

1616 Pike Rd Ste F105
El Paso, TX 79906-3412
Phone (915) 566-8693

Other identifiers 1

IdentifierTypeStateIssuer
6879TGOtherTXLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930051769 TX DME Supplier - Physician - OptometristDME Supplier - Optician 3870611544 Practice locations: El Paso, TX
O20120524000020 TX Part B Supplier - Clinic/Group Practice 3870611544 Receives reassigned benefits from 3 practitioners
Practice locations: El Paso, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
El Paso Optical PC4724 Montana Ave, El Paso, TX 79903-481191556686936 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Oct 1, 1984

National Provider Directory

National Provider Directory

Locations

4724 Montana Ave
El Paso, TX 79903
Phone (915) 566-8693

1616 Pike Rd
Ste F105
Fort Bliss, TX 79906
Phone (915) 564-4100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1609134949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4724 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034811",
            "telephone_number": "915-566-8693",
            "fax_number": "915-566-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4724 MONTANA AVE",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799034811",
            "telephone_number": "915-566-8693",
            "fax_number": "915-566-9229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1616 Pike Rd Ste F105",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799063412",
            "country_code": "US",
            "telephone_number": "915-566-8693",
            "fax_number": "915-566-9229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EL PASO OPTICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "BAPTISTE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-566-8693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7693TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "6879TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.