Individual provider Active NPI

Yuseinis Gutierrez Saez, OPTOMETRIST

  • Optometrist
  • El Paso, TX
National Provider Identifier
1629891007
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11257 Issued in TX
Practice address
18511 Highland Medics Street
El Paso, TX 79918
Phone
(915) 742-2949
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 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 0618003457 VA
Optometrist 152W00000X 11257 TX Primary

Addresses

Primary practice location

18511 Highland Medics Street
El Paso, TX 79918

Mailing address

14834 W Dovestar Dr
Surprise, AZ 85374-3463
Phone (480) 942-2767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11257TXMDChiropractor
0618003457VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1629891007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14834 W DOVESTAR DR",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743463",
            "telephone_number": "480-942-2767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLAND MEDICS STREET",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79918",
            "telephone_number": "915-742-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ SAEZ",
        "first_name": "YUSEINIS",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618003457",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "11257",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2024; 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.